National Provider Identifier Database

JEFFREY K CHISM, DPM – NPI #1285621730
Podiatrist

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.


Contact Information

JEFFREY K CHISM, DPM
410 E 2ND ST
MERRILL, WI54452-2319
Phone: 715-536-7444
Fax: 715-536-1547
Website:
Specialty Taxonomy Code
* Podiatrist 213E00000X

* Indicates primary specialty

NPI Profile & details for JEFFREY K CHISM

NPI Number 1285621730
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 09/30/2005
Last updated 05/01/2009 - About 17 years ago
Sole proprietor1 Yes
Identifiers
  • WI License #: 748-025
  • WI Medicaid: 43223800
  • WI Other: 1285621730 BLUE CROSS FEDERAL EMPLOYEE PROGRAM
  • WI Other: 000000485016 WI BLUE SHIELD
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.

Reviews for JEFFREY K CHISM, DPM

There are currently no reviews for JEFFREY K CHISM, DPM


NPIdb - Home
v2.201