Provider Demographics
NPI:1548594047
Name:CHANDLER, JAMES DOW (BC-HIS MCAP)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:DOW
Last Name:CHANDLER
Suffix:
Gender:M
Credentials:BC-HIS MCAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2304 S.E. 14TH ST
Mailing Address - Street 2:ACE HEARING LABORATORY, LLC
Mailing Address - City:BENTONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72712-6904
Mailing Address - Country:US
Mailing Address - Phone:479-273-6006
Mailing Address - Fax:479-273-5992
Practice Address - Street 1:2304 SE 14TH ST
Practice Address - Street 2:
Practice Address - City:BENTONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72712-6904
Practice Address - Country:US
Practice Address - Phone:479-273-6006
Practice Address - Fax:479-273-5992
Is Sole Proprietor?:No
Enumeration Date:2009-09-30
Last Update Date:2009-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR534237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist