Active NPIIndividual providerSole proprietor

Evan Chandra, LAT, ATC

Specialist/Technologist, Athletic Trainer in Ashland, Massachusetts

NPI Number1386002525
Practice location
69 Shore RD, Ashland, MA 01721-1927
Fax
—
Last updated
February 2, 2016

Evan Chandra is a Specialist/Technologist, Athletic Trainer based in Ashland, MA. Evan Chandra practices in Ashland, MA and has the professional credentials of LAT, ATC. The NPI Number for Evan Chandra is 1386002525 and holds a License No. 2771 (MA). The current practice location address for Evan Chandra is 69 Shore RD, Ashland, MA 01721-1927 and can be reached out via phone at 508-361-6318.

Provider Profile Details

NPI Number
1386002525
Provider Name
Evan Chandra
Credential
LAT, ATC
Provider Entity Type
Individual
Gender
Male
Address
69 Shore RD, Ashland, MA 01721-1927
Phone Number
508-361-6318
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
February 2, 2016
Last Update Date
February 2, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
69 Shore RD
Ashland, MA 01721-1927
Zip
01721-1927
Phone Number
508-361-6318
Ashland, MA 01721Get directions →

Provider Business Mailing Address Details

Address
69 Shore RD
Ashland, MA 01721-1927
City
Ashland
State
MA
Zip
01721-1927
Phone Number
508-361-6318

License Information

License Number
2771
License State
MA
Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Evan Chandra, LAT, ATC?

The NPI number of Evan Chandra, LAT, ATC is 1386002525. It was assigned on February 2, 2016 and is currently active in the NPPES registry.

What is the specialty of Evan Chandra, LAT, ATC?

Evan Chandra, LAT, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in MA under license number 2771.

Where does Evan Chandra, LAT, ATC practice?

The practice location is 69 Shore RD, Ashland, MA 01721-1927. The office can be reached at 508-361-6318 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1386002525 directly on the NPPES registry website.

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