Chavez, David R
Chavez, David R is an individual health care provider with primary practice located at One Medical Center Dr , Lebanon NH 03756-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Pediatric Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Chavez, David R can be contacted via phone (603) 653-9882.Contact Information
Primary practice address
One Medical Center Dr
Lebanon NH 03756-0001
Phone: (603) 653-9882
Fax: (603) 653-0908
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 8217 | Montana |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 6858A | Wyoming |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 15955 | New Hampshire |
| Allopathic & Osteopathic Physicians / Pediatric Urology | 2088P0231X | 15955 | New Hampshire |
Profile Details
| NPI number | 1124110275 |
|---|---|
| LBN Legal business name | Chavez, David R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Jan 7th, 2013 - about 11 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 | 1124110275 | NPPES |
| Montana | MEDICAID | 0053278 | |
| Montana | MEDICAID | 118564100 |
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