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Contact Information

HOLLACE D CHASTAIN, MD
11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN46845-1730
 Phone: 260-266-5700
 Fax: 260-266-5920
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for HOLLACE D CHASTAIN · (Male)

NPI # 1013919422
Status Active
Credentials MD
Entity Individual
Enumeration date 08/15/2005
Last updated 10/14/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01039775A
  • IN Medicaid 200322020
  • OH Medicaid 2232319
  • IN Other 000000641068 ANTHEM
  • IN Other P00786816 R.R. MEDICARE
  • IN Other 060070569 RR MEDICARE
Hospital affiliation(s)
  • PARKVIEW HUNTINGTON HOSPITAL - (Acute Care)
    2001 STULTS RD
    HUNTINGTON, IN 46750
  • PARKVIEW NOBLE HOSPITAL - (Acute Care)
    401 SAWYER RD
    KENDALLVILLE, IN 46755
  • PARKVIEW REGIONAL MEDICAL CENTER - (Acute Care)
    11109 PARKVIEW PLAZA DRIVE
    FORT WAYNE, IN 46845
  • PARKVIEW WHITLEY HOSPITAL - (Acute Care)
    1260 E SR 205
    COLUMBIA CITY, IN 46725
  • WABASH COUNTY HOSPITAL - (Critical Access)
    710 N EAST ST
    WABASH, IN 46992
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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