Chestnut, Lisa D
Chestnut, Lisa D is an individual health care provider with primary practice located at 4687 Pouncey Tract Road Kidmed, Glen Allen VA 23059-5802. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Chestnut, Lisa D can be contacted via phone (804) 422-5437.Contact Information
Primary practice address
4687 Pouncey Tract Road Kidmed
Glen Allen VA 23059-5802
Phone: (804) 422-5437
Fax: (804) 422-5438
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0101050845 | Virginia |
Profile Details
| NPI number | 1376543660 |
|---|---|
| LBN Legal business name | Chestnut, Lisa D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2005 |
| Last updated | Oct 4th, 2012 - about 12 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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