1851601256 NPI number — JAMES G. CHAMBERS III, M.D. P.C.

Table of content: (NPI 1851601256)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851601256 NPI number — JAMES G. CHAMBERS III, M.D. P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JAMES G. CHAMBERS III, 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:
1851601256
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/19/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
401 LOWELL DR SE
Provider Second Line Business Mailing Address:
SUITE 15
Provider Business Mailing Address City Name:
HUNTSVILLE
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35801-3748
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
256-534-0659
Provider Business Mailing Address Fax Number:
256-534-2412

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
401 LOWELL DR SE
Provider Second Line Business Practice Location Address:
SUITE 15
Provider Business Practice Location Address City Name:
HUNTSVILLE
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35801-3748
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
256-534-0659
Provider Business Practice Location Address Fax Number:
256-534-2412
Provider Enumeration Date:
10/19/2010

Additional Information

Authorized Official

Authorized Official Last Name:
CHAMBERS
Authorized Official First Name:
JAMES
Authorized Official Middle Name:
GEORGE
Authorized Official Title or Position:
DOCTOR, PRESIDENT
Authorized Official Telephone Number:
256-534-0659

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  00006818 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 0114361 . This is a "BLUE CROSS TN." identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
  • Identifier: 51001093 . This is a "BLUE CROSS PROVIDER NUMBER" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: P00056562 . This is a "RAILROAD MEDICARE PROVIDER" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 0004124418 . This is a "AETNA PROVIDER NUMBER" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".




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