National Provider Identifier Database

CHATHAM FACIAL PLASTIC SURGERY LLC
Facial Plastic Surgery


Contact Information

CHATHAM FACIAL PLASTIC SURGERY LLC
1919 STATE STREET
SUITE 144
NEW ALBANY, IN47150
Phone: 812-945-3223
Fax:
Website:
Specialty Taxonomy Code
* Facial Plastic Surgery 207YS0123X
Plastic Surgery within the Head & Neck 207YX0007X

* Indicates primary specialty

NPI Profile & details for CHATHAM FACIAL PLASTIC SURGERY LLC

NPI Number 1336238591
Legal business name
LBN
CHATHAM FACIAL PLASTIC SURGERY LLC
Authorized official FAYTH BREEDING - (OFFICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 10/12/2006
Last updated 10/24/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • IN License #: 01034016
  • KY License #: 23772
  • IN Medicaid: 100116140A
  • KY Medicaid: 64237720
  • Other: 000000323054 ANTHEM BCBS
  • Other: 1629134739 NPI DR. DONN R. CHATHAM
  • IN Other: DB7559 RAILROAD MEDICARE GROUP
  • IN Other: P00125999 RAILROAD MEDICARE PIN
  • KY Other: DC6172 RAILROAD MEDICARE GROUP
  • KY Other: P00180026 RAILROAD MEDICARE PIN

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 CHATHAM FACIAL PLASTIC SURGERY LLC

There are currently no reviews for CHATHAM FACIAL PLASTIC SURGERY LLC


NPIdb - Home
v2.201