Provider Demographics
NPI:1457516809
Name:CHANDLER, ANDREW P (DO)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:P
Last Name:CHANDLER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 E 10TH ST
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:47240-8249
Mailing Address - Country:US
Mailing Address - Phone:812-222-0970
Mailing Address - Fax:812-222-0972
Practice Address - Street 1:212 E 10TH ST
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:IN
Practice Address - Zip Code:47240-8249
Practice Address - Country:US
Practice Address - Phone:812-222-0970
Practice Address - Fax:812-222-0972
Is Sole Proprietor?:No
Enumeration Date:2008-07-25
Last Update Date:2012-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN11014523A207Q00000X
IN02003584A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine