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NPI Code Detail

MEDICARE: DR. CATHERINE B. CHAMBERS M.D.

MEDICARE: DR. CATHERINE B. CHAMBERS M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician35069444OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245230093
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CATHERINE B. CHAMBERS M.D.
Provider Business Mailing Address
First Line : 625 CLEVELAND AVE NW
Second Line :
City : CANTON
State : OH
Zip : 44702-1805
Country : US
Telephone Number : 330-455-0374
Fax Number : 330-453-6716
Provider Business Practice Location Address
First Line : 1341 MARKET AVE N
Second Line :
City : CANTON
State : OH
Zip : 44714-2605
Country : US
Telephone Number : 330-453-8252
Fax Number : 330-452-4655
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2005
Last Update Date : 11/19/2018

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