Provider Demographics
NPI:1538485040
Name:CHANCEY, BILLY GEROME (PARAMEDIC)
Entity Type:Individual
Prefix:
First Name:BILLY
Middle Name:GEROME
Last Name:CHANCEY
Suffix:
Gender:M
Credentials:PARAMEDIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 S WISE ST
Mailing Address - Street 2:
Mailing Address - City:SAMSON
Mailing Address - State:AL
Mailing Address - Zip Code:36477-1339
Mailing Address - Country:US
Mailing Address - Phone:334-726-1623
Mailing Address - Fax:
Practice Address - Street 1:BLDG 8450
Practice Address - Street 2:2ND AVE
Practice Address - City:FT. RUCKER
Practice Address - State:AL
Practice Address - Zip Code:36362
Practice Address - Country:US
Practice Address - Phone:334-255-3570
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-09
Last Update Date:2010-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL9701224146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic