Black, Gary Chase

Black, Gary Chase is an sole proprietor health care provider with primary practice located at 9400 Rhea County Hwy , Dayton TN 37321. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Black, Gary Chase can be contacted via phone (423) 285-5220.

Contact Information

Primary practice address
9400 Rhea County Hwy Dayton TN 37321
Phone: (423) 285-5220
Fax: (423) 285-5506
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X LL34886 South Carolina
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 55829 Tennessee

Profile Details

NPI number 1700149648
LBN Legal business name Black, Gary Chase
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2012
Last updated Jun 1st, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700149648 NPPES
Tennessee Other T00148A MEDICARE PTAN
Tennessee MEDICAID Q029957 MEDICARE PTAN

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