Chaney, Charles Wayne

Chaney, Charles Wayne is an individual health care provider with primary practice located at 3109 Bienville Blvd , Ocean Springs MS 39564-4361. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Chaney, Charles Wayne can be contacted via phone (228) 818-1111.

Contact Information

Primary practice address
3109 Bienville Blvd Ocean Springs MS 39564-4361
Phone: (228) 818-1111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R520705 Mississippi

Profile Details

NPI number 1548395833
LBN Legal business name Chaney, Charles Wayne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2007
Last updated Jan 7th, 2011 - about 13 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 1548395833 NPPES
Other 430068781 RAILROAD MEDICARE
MEDICAID CWC00015826 RAILROAD MEDICARE
Other 640942692 RAILROAD MEDICARE

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