Provider Demographics
NPI:1497418693
Name:CHAMBERS, BRITTANY NOEL (LAC)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:NOEL
Last Name:CHAMBERS
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 AMMERMAN WAY
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:NJ
Mailing Address - Zip Code:07930-2214
Mailing Address - Country:US
Mailing Address - Phone:732-779-5226
Mailing Address - Fax:
Practice Address - Street 1:1 OLD WOLFE RD
Practice Address - Street 2:
Practice Address - City:BUDD LAKE
Practice Address - State:NJ
Practice Address - Zip Code:07828-3213
Practice Address - Country:US
Practice Address - Phone:973-527-7978
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-15
Last Update Date:2021-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00151500171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ25MZ00151500OtherLICENSED ACUPUNCTURIST; LICENSE NUMBER