CHATHAM FACIAL PLASTIC SURGERY LLC; NPI #1336238591

Contact Information

CHATHAM FACIAL PLASTIC SURGERY LLC

1919 STATE STREET
SUITE 144
NEW ALBANY, IN 47150

Phone: 812-945-3223
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Facial Plastic Surgery	207YS0123X	04	Physician/Otolaryngology
Plastic Surgery within the Head & Neck	207YX0007X	04	Physician/Otolaryngology

Indicates primary specialty

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NPI Profile & details for CHATHAM FACIAL PLASTIC SURGERY LLC

NPI Number 1336238591

LBN Legal business name CHATHAM FACIAL PLASTIC SURGERY LLC

Authorized official FAYTH BREEDING - (OFFICE MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/12/2006

Last updated 10/24/2011 - About 15 years ago

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 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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