1669659470 NPI number — NATALIE L. CHAMBERS, M.D., P.C.

Table of content: (NPI 1669659470)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1669659470 NPI number — NATALIE L. CHAMBERS, M.D., P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NATALIE L. CHAMBERS, M.D., P.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1669659470
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/25/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
P.O. BOX 2050
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NORTH FALMOUTH
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02556-8050
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
508-563-2690
Provider Business Mailing Address Fax Number:
508-563-2698

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
31 EDGERTON DRIVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NORTH FALMOUTH
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02556-8050
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-563-2690
Provider Business Practice Location Address Fax Number:
508-563-2698
Provider Enumeration Date:
01/23/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
CHAMBERS
Authorized Official First Name:
NATALIE
Authorized Official Middle Name:
L
Authorized Official Title or Position:
PHYSICIAN, OWNER
Authorized Official Telephone Number:
508-563-2690

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  208990 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 9708774 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: M17757 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".