Individual
MR. JOHN MICHAEL CHANCEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1318 BRISTOL CT, CIRCLEVILLE, OH 43113-9231
(740) 412-8248
Mailing address
1318 BRISTOL CT, CIRCLEVILLE, OH 43113-9231
(740) 412-8248
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6502795
—
OH
Enumeration date
09/16/2020
Last updated
09/16/2020
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