Provider Demographics
NPI:1891428439
Name:BEAR, CHELSEA ERIN
Entity Type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:ERIN
Last Name:BEAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 OVERTON ST
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:KY
Mailing Address - Zip Code:41071-2066
Mailing Address - Country:US
Mailing Address - Phone:843-439-0653
Mailing Address - Fax:
Practice Address - Street 1:825 OVERTON ST
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:KY
Practice Address - Zip Code:41071-2066
Practice Address - Country:US
Practice Address - Phone:843-439-0653
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-01
Last Update Date:2022-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program