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:
Health care specialties
| Specialty | Code | License # | 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 8 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 | 1821065004 | NPPES |
| South Carolina | MEDICAID | AT3879 |
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