Provider Demographics
NPI:1720008840
Name:CHAMBERLAIN, JOSETTE L (MD)
Entity type:Individual
Prefix:DR
First Name:JOSETTE
Middle Name:L
Last Name:CHAMBERLAIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JOSETTE
Other - Middle Name:L
Other - Last Name:HUNTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:416 E MAUMEE ST
Mailing Address - Street 2:
Mailing Address - City:ANGOLA
Mailing Address - State:IN
Mailing Address - Zip Code:46703-2015
Mailing Address - Country:US
Mailing Address - Phone:260-667-5670
Mailing Address - Fax:260-667-5680
Practice Address - Street 1:306 E MAUMEE ST STE 101
Practice Address - Street 2:
Practice Address - City:ANGOLA
Practice Address - State:IN
Practice Address - Zip Code:46703-2037
Practice Address - Country:US
Practice Address - Phone:260-667-5670
Practice Address - Fax:260-667-5680
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME015327207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME10/16/2006OtherMARTINS POINT
ME291380099Medicaid
ME2426734 06OtherUNITED HEALTH CARE
ME12/5/2006OtherCIGNA
ME5626631OtherATENA-HMO
ME8/4/2006OtherBENEFIT SERVICES
ME02475OtherATENA-NON
ME11/20/2006OtherHARVARD PILGRIM
ME4/25/2007OtherHEALTHNET
IN300008125Medicaid
ME2426734 06OtherUNITED HEALTH CARE