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Individual

MR. RICK ALLEN CHAMBERLAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2350 SANDCREST BLVD #D, COLUMBUS, IN 47203
(812) 900-1272
Mailing address
3809 WAYCROSS DRIVE, COLUMBUS, IN 47203
(812) 390-0042
(317) 398-1852

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01038230A
IN
207Q00000X
Family Medicine Physician
Primary
35.044870
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200121010
IN
01
640864
BLUE CROSS BLUE SHIELD
IN
Enumeration date
05/23/2005
Last updated
09/13/2024
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