Chauncey L Murdock, LVN is a
Licensed Vocational Nurse based in Imperial Beach, California. Chauncey L Murdock is licensed to practice in California (license number 209265) and his current practice location is
1101 Florida St, Imperial Beach, California. He can be reached at his office (for appointments etc.) via phone at
(619) 423-3295.
NPI number for Chauncey L Murdock is 1285822528 and his current mailing address is 1101 Florida St, Imperial Beach, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1285822528.
Provider's Profile
| Full Name | Chauncey L Murdock |
|---|
| Gender | Male |
|---|
| Speciality | Licensed Vocational Nurse |
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| Location | 1101 Florida St, Imperial Beach, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1285822528
- Provider Enumeration Date: 10/11/2007
- Last Update Date: 10/11/2007
Medical Identifiers
Medical identifiers for Chauncey L Murdock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285822528 | NPI | - | NPPES |
| RVN004450 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164X00000X | Licensed Vocational Nurse | 209265 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Chauncey L Murdock is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Chauncey L Murdock, LVN
1101 Florida St,
Imperial Beach, CA 91932-2907
Ph: (619) 423-3295 | Chauncey L Murdock, LVN
1101 Florida St,
Imperial Beach, CA 91932-2907
Ph: (619) 423-3295 |
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