Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 61745 | TN |
Y | 208000000X | Pediatrician | 61745 | TN |
N | 2080P0204X | Pediatric Emergency Doctor | 35.084127 | OH |
N | 2080P0204X | Pediatric Emergency Doctor | 61745 | TN |
NPI | 1053349159 |
---|---|
Provider Name | Patricia L Chambers |
First Address | Liberty Township, OH 45044-3500 |
Second Address | Liberty Township, OH 45044-3500 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2006 |
Last Update Date | 21/08/2020 |