Manda L Chatelain
Neurosurgeon
1331 N 7th St Ste 405
Phoenix
, Arizona 85006-2754
Manda L Chatelain
Neurosurgeon
1331 N 7th St Ste 405
Phoenix
, Arizona 85006-2754
(602) 254-3151
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About
Features
Specialties
- Neurosurgeon
Languages spoken
- English
Location
First Address
- Manda L Chatelain
- 1331 N 7th St Ste 405
- Phoenix, AZ
- Zip : 85006-2754
- Phone : (602) 254-3151
Second Address
- Manda L Chatelain
- 1331 N 7th St Ste 405
- Phoenix, AZ
- Zip : 85006-2754
- Phone : (602) 254-3151
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207T00000X | Neurosurgeon | AP1568 | AZ |
National Provider Identifier
| NPI | 1124049838 |
|---|---|
| Provider Name | Manda L Chatelain |
| First Address | Phoenix, AZ 85006-2754 |
| Second Address | Phoenix, AZ 85006-2754 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/07/2006 |
| Last Update Date | 14/07/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 188316200 | DEPT OF LABOR ID (01) | AZ |
| 1Z9797 | HEALTHNET (01) | AZ |
| 751679 | (05) | AZ |
| 860224285 | TAX ID (01) | AZ |
| AZ0143190 | BC BS ID (01) | AZ |
| CD4863 | RAILROAD MEDICARE ID (01) | AZ |
| P81751 | (02) | AZ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.