| Richard L Chamberlain Do Llc | |
|
909 E 2nd St Franklin OH 45005-1700 | |
| (937) 746-8357 | |
| (937) 746-1992 |
| Full Name | Richard L Chamberlain Do Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 909 E 2nd St, Franklin, Ohio |
| Authorized Official Name and Position | Richard L Chamberlain (D.O.) |
| Authorized Official Contact | 9377468357 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard L Chamberlain Do Llc 909 E 2nd St Franklin OH 45005-1700 Ph: (937) 746-8357 | Richard L Chamberlain Do Llc 909 E 2nd St Franklin OH 45005-1700 Ph: (937) 746-8357 |
| NPI Number | 1255500583 |
|---|---|
| Provider Enumeration Date | 02/20/2008 |
| Last Update Date | 02/14/2013 |
| Medicare PECOS PAC ID | 1850356817 |
|---|---|
| Medicare Enrollment ID | O20041201000605 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255500583 | NPI | - | NPPES |
| 0701306 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OH34-00-4313C (Ohio) | Primary |
| Provider Name | Richard L Chamberlain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164427019 PECOS PAC ID: 0547161119 Enrollment ID: I20041202000165 |
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