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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 Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Emergency Medical Technician, Basic

146N00000X
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for CHAD P ENICH · (Male)

NPI # 1174510879
Status Active
Credentials PA C
Entity Individual
Enumeration date 09/29/2005
Last updated 05/24/2022 - About 4 years ago
Sole proprietor 1 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(s)
  • IOWA METHODIST MEDICAL CENTER - (Acute Care)
    1200 PLEASANT STREET
    DES MOINES, IA 50309
  • LUCAS COUNTY HEALTH CENTER - (Critical Access)
    1200 NORTH 7TH STREET
    CHARITON, IA 50049
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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