Chatham, Donn Randolph
Chatham, Donn Randolph is an sole proprietor health care provider with primary practice located at 1919 State St Suite 144, New Albany IN 47150-4929. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Facial Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck. Allopathic & Osteopathic Physicians / Facial Plastic Surgery is his primary health care specialty. Chatham, Donn Randolph can be contacted via phone (812) 945-3223.Contact Information
Primary practice address
1919 State St Suite 144
New Albany IN 47150-4929
Phone: (812) 945-3223
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Facial Plastic Surgery | 207YS0123X | 01034016 | Indiana |
Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck | 207YX0007X | 01034016 | Indiana |
Allopathic & Osteopathic Physicians / Facial Plastic Surgery | 207YS0123X | 23772 | Kentucky |
Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck | 207YX0007X | 23772 | Kentucky |
Profile Details
NPI number | 1629134739 |
---|---|
LBN Legal business name | Chatham, Donn Randolph |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 31st, 2006 |
Last updated | Jun 17th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1629134739 | NPPES |
Indiana | Other | DB7559 | RAILROAD MEDICARE GROUP |
Indiana | Other | 1336238591 | RAILROAD MEDICARE GROUP |
Indiana | Other | DC6172 | RAILROAD MEDICARE GROUP |
Indiana | Other | P00125999 | RAILROAD MEDICARE GROUP |
Indiana | Other | P00180026 | RAILROAD MEDICARE GROUP |
Indiana | Other | 000000323054 | RAILROAD MEDICARE GROUP |
Indiana | MEDICAID | 100116140A | RAILROAD MEDICARE GROUP |
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