Individual
COURTNEY T CHAMBERLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3341 BEALE AVE, ALTOONA, PA 16601-1549
(814) 944-5357
(814) 946-8017
Mailing address
3341 BEALE AVE, ALTOONA, PA 16601-1549
(814) 944-5357
(814) 946-8017
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA060680
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1163104
NCCPA
PA
01
—
MA060680
STATE LICENSE
PA
Enumeration date
05/22/2019
Last updated
06/24/2019
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