Individual
DR. MICHAEL HOWARD CHANCEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 RHL, SUITE 301, CHARLESTON, WV 25309-8291
(304) 388-7010
(304) 388-7015
Mailing address
415 MORRIS ST STE 304, CHARLESTON, WV 25301-1853
(304) 388-7783
(304) 388-7788
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
13496
WV
208000000X
Pediatrics Physician
13496
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0112540-000
—
WV
01
—
020039000
RAILROAD MEDICARE
—
Enumeration date
04/06/2006
Last updated
12/05/2012
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