Dr David Chisholm
LBN: Camelot Family Health Llc
Dr David Chisholm is an health care organization with primary practice located at 500 E Swanson Ave Ste 3, Wasilla AK 99654-7197. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Camelot Family Health Llc can be contacted via phone (907) 357-6180, or through Chisholm, David R via phone (907) 357-6180.
Contact Information
Primary practice address
500 E Swanson Ave Ste 3
Wasilla AK 99654-7197
Phone: (907) 357-6180
Fax: (907) 357-6184
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X |
Profile Details
NPI number | 1336685908 |
---|---|
LBN Legal business name | Camelot Family Health Llc |
DBA Doing business as | Dr David Chisholm |
Authorized official | Chisholm, David R Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jan 6th, 2017 |
Last updated | Jan 6th, 2017 - about 7 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1336685908 | NPPES |
Alaska | MEDICAID | 1009915 |
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