Chillag, Shawn Alexander

Chillag, Shawn Alexander is an individual health care provider with primary practice located at 3200 Maccorkle Ave Se Fl 4 , Charleston WV 25304-1227. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Chillag, Shawn Alexander can be contacted via phone (304) 388-5590.

Contact Information

Primary practice address
3200 Maccorkle Ave Se Fl 4 Charleston WV 25304-1227
Phone: (304) 388-5590
Fax: (304) 388-8238
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 11208 South Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 9861 West Virginia

Profile Details

NPI number 1821065004
LBN Legal business name Chillag, Shawn Alexander
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated May 26th, 2016 - about 9 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 1821065004 NPPES
South Carolina MEDICAID AT3879

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