Chen, Chi Dai

Chen, Chi Dai is an individual health care provider with primary practice located at 1040 Marlboro Way Suite 7, Bennettsville SC 29512-2494. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Chen, Chi Dai can be contacted via phone (843) 479-5858.

Contact Information

Primary practice address
1040 Marlboro Way Suite 7 Bennettsville SC 29512-2494
Phone: (843) 479-5858
Fax: (843) 454-1092
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 22377 South Carolina

Profile Details

NPI number 1033294285
LBN Legal business name Chen, Chi Dai
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Sep 17th, 2012 - about 13 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 1033294285 NPPES
South Carolina MEDICAID 223779
South Carolina Other 000000196767
South Carolina Other 7162826
South Carolina Other 407687

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