Chico, Gavin F

Chico, Gavin F is an sole proprietor health care provider with primary practice located at 1633 Marvel St , Coushatta LA 71019-9022. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Chico, Gavin F can be contacted via phone (318) 932-2081.

Contact Information

Primary practice address
1633 Marvel St Coushatta LA 71019-9022
Phone: (318) 932-2081
Fax: (318) 932-2215
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 11956R Louisiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 11956R Louisiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 11956R Louisiana

Profile Details

NPI number 1740261650
LBN Legal business name Chico, Gavin F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2005
Last updated Mar 17th, 2021 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1740261650 NPPES
Louisiana Other P00814514 RR MEDICARE NUMBER
Louisiana MEDICAID 1699799 RR MEDICARE NUMBER

Popular Providers