Chastant, Michael Jason

Chastant, Michael Jason is an individual health care provider with primary practice located at 1000 S Beckham Ave , Tyler TX 75701-1908. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is his primary health care specialty. Chastant, Michael Jason can be contacted via phone (903) 590-5611.

Contact Information

Primary practice address
1000 S Beckham Ave Tyler TX 75701-1908
Phone: (903) 590-5611
Fax: (903) 535-6884
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 713739 Texas
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 713739 Texas
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 713739 Texas

Profile Details

NPI number 1083944185
LBN Legal business name Chastant, Michael Jason
Credentials ACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2010
Last updated Sep 12th, 2022 - about 2 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 1083944185 NPPES
Texas MEDICAID 3470247-01
Texas Other P01436330
Texas Other 836N74
Texas Other 1083944185

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