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
Phone: (256) 845-5555
Fax: (256) 997-9310
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083763049 | NPPES |
| Alabama | Other | 5294250001 | PALMETTO GBA-DMERC |
| Alabama | Other | AL0657 | PALMETTO GBA-DMERC |
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