Chase, David G
Chase, David G is an sole proprietor health care provider with primary practice located at 100 Hospital St Suite 300, Booneville MS 38829-3354. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Chase, David G can be contacted via phone (668) 728-2147.Contact Information
Primary practice address
100 Hospital St Suite 300
Booneville MS 38829-3354
Phone: (668) 728-2147
Fax: (662) 720-3050
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 07824 | Mississippi |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 07824 | Mississippi |
Profile Details
| NPI number | 1588623532 |
|---|---|
| LBN Legal business name | Chase, David G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 20th, 2006 |
| Last updated | Feb 5th, 2024 - about last year |
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 | 1588623532 | NPPES |
| Mississippi | MEDICAID | 09015803 |
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