Individual
CHARLES STEVEN CHANCEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1044470
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000933127B
—
GA
05
—
051515742
—
AL
05
—
08657095
—
MS
05
—
1771449
—
LA
01
—
2000621
UNITED HEALTHCARE
—
05
—
304212000
—
FL
01
—
51515742
BLUE CROSS BLUE SHIELD OF
AL
Enumeration date
03/31/2006
Last updated
07/08/2007
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