Chastain, Latricia Dail

Chastain, Latricia Dail is an individual health care provider with primary practice located at 44 Mcneill Plz , Whiteville NC 28472-8602. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Chastain, Latricia Dail can be contacted via phone (336) 610-1300.

Contact Information

Primary practice address
44 Mcneill Plz Whiteville NC 28472-8602
Phone: (336) 610-1300
Fax: (336) 672-6001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5005452 North Carolina

Profile Details

NPI number 1821366436
LBN Legal business name Chastain, Latricia Dail
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2011
Last updated Apr 14th, 2021 - about 3 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 1821366436 NPPES
South Carolina MEDICAID NP2519
South Carolina MEDICAID 1821366436

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