Provider Demographics
NPI:1346531050
Name:CHANES, SHELDON F
Entity Type:Individual
Prefix:
First Name:SHELDON
Middle Name:F
Last Name:CHANES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 50396
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89435-0396
Mailing Address - Country:US
Mailing Address - Phone:775-250-5505
Mailing Address - Fax:
Practice Address - Street 1:946 E ST
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89431-0816
Practice Address - Country:US
Practice Address - Phone:775-250-5505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-28
Last Update Date:2011-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner