National Provider Identifier Database

CHAD P ENICH, PA C – NPI #1174510879
Physician Assistant

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.


Contact Information

CHAD P ENICH, PA C
2901 86TH ST
URBANDALE, IA50322-4201
Phone: 515-276-3406
Fax: 515-276-5141
Website:
Specialty Taxonomy Code
* Physician Assistant 363A00000X
Emergency Medical Technician, Basic 146N00000X
Family Medicine 207Q00000X

* Indicates primary specialty

NPI Profile & details for CHAD P ENICH

NPI Number 1174510879
Credentials PA C
Entity Individual
Enumeration date 09/29/2005
Last updated 05/24/2022 - About 4 years ago
Sole proprietor1 No
Identifiers
  • IA License #: 001165
  • IA License #: 01165
  • IA Medicaid: 1174510879
  • IA Medicaid: 2133348
  • Other: 44593 BCBS
  • IA Other: 970009403 RAILROAD MEDICARE
  • IA Other: P01396066 RR MEDICARE
Hospital affiliation n/a

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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