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Contact Information

JEREMY R CHASTAIN, MD
2211 LOMAS BLVD NE
ALBUQUERQUE, NM87106-2719
 Phone: 405-659-4962
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for JEREMY R CHASTAIN · (Male)

NPI Number 1316200538
Status Active
Credentials MD
Entity Individual
Enumeration date 06/21/2012
Last updated 12/04/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • NM License # MD2024-0731
Hospital affiliation(s)
  • UNIVERSITY OF ARIZONA MEDICAL CTR- SOUTH CAM THE - (Acute Care)
    2800 EAST AJO WAY
    TUCSON, AZ 85713
  • UNIVERSITY OF ARIZONA MEDICAL CTR-UNIVERSITY THE - (Acute Care)
    1501 NORTH CAMPBELL AVENUE
    TUCSON, AZ 85724
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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