Chadbourne, David
Chadbourne, David is an individual health care provider with primary practice located at 135 Professional Park Dr , Seneca SC 29678-2558. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Chadbourne, David can be contacted via phone (864) 882-8074.Contact Information
Primary practice address
135 Professional Park Dr
Seneca SC 29678-2558
Phone: (864) 882-8074
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 101371-85 | Wisconsin |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 81829 | South Carolina |
Profile Details
| NPI number | 1740277011 |
|---|---|
| LBN Legal business name | Chadbourne, David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2005 |
| Last updated | Jan 26th, 2024 - about 10 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740277011 | NPPES |
| South Carolina | MEDICAID | GP4449 | |
| South Carolina | Other | 10444433 | |
| South Carolina | MEDICAID | 818299 |
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