Chaney, Chad Freeman

Chaney, Chad Freeman is an sole proprietor health care provider with primary practice located at 1953 Gault Ave N , Fort Payne AL 35967-3417. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Chaney, Chad Freeman can be contacted via phone (256) 845-5555.

Contact Information

Primary practice address
1953 Gault Ave N Fort Payne AL 35967-3417
Fax: (256) 997-9310
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X S-A88-TA-657 Alabama

Profile Details

NPI number 1083763049
LBN Legal business name Chaney, Chad Freeman
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2007
Last updated Jan 15th, 2008 - about 16 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 1083763049 NPPES
Alabama Other 5294250001 PALMETTO GBA-DMERC
Alabama Other AL0657 PALMETTO GBA-DMERC

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