Chafin, Wanda Sue

Chafin, Wanda Sue is an individual health care provider with primary practice located at 245 Medical Park Dr Suite C, Marion VA 24354-1100. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Chafin, Wanda Sue can be contacted via phone (276) 378-3300.

Contact Information

Primary practice address
245 Medical Park Dr Suite C Marion VA 24354-1100
Phone: (276) 378-3300
Fax: (276) 378-1265
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024106427 Virginia

Profile Details

NPI number 1750405650
LBN Legal business name Chafin, Wanda Sue
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2007
Last updated Jun 3rd, 2015 - about 9 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 1750405650 NPPES
Virginia MEDICAID 1750405650
Virginia MEDICAID Q008368

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