Chastain, Bryan Dee

Chastain, Bryan Dee is an individual health care provider with primary practice located at 155 Health Way Suite 1, Mc Minnville TN 37110-2658. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Chastain, Bryan Dee can be contacted via phone (931) 473-5394.

Contact Information

Primary practice address
155 Health Way Suite 1 Mc Minnville TN 37110-2658
Phone: (931) 473-5394
Fax: (931) 473-6636
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD0000018822 Tennessee

Profile Details

NPI number 1023019429
LBN Legal business name Chastain, Bryan Dee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated May 21st, 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 1023019429 NPPES
Tennessee MEDICAID 3844940

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