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Contact Information

JEFFREY B CHICK, MD
1201 PORCHES DR
SUITE 2
WILMINGTON, NC28409
 Phone: 315-727-6084
 Fax: 315-579-2561
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for JEFFREY B CHICK · (Male)

NPI # 1477650554
Status Active
Credentials MD
Entity Individual
Enumeration date 09/20/2006
Last updated 01/11/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 127721
  • NY License # 127721-1
  • NY Medicaid 00570434
Hospital affiliation(s) Not Available
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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