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Contact Information

BRENT D CHAVIS, MD
EAST MAIN & SOUTH 20TH STREET
VAN BUREN, AR72956
 Phone: 479-474-3401
 Fax: 479-471-4388
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for BRENT D CHAVIS · (Male)

NPI # 1356327878
Status Active
Credentials MD
Entity Individual
Enumeration date 12/16/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • AR License # E-2793
  • AR Other 5L778 BCBS
Hospital affiliation(s)
  • MENA REGIONAL HEALTH SYSTEM - (Acute Care)
    311 NORTH MORROW STREET
    MENA, AR 71953
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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