Chisam, Mark Ewing
Chisam, Mark Ewing is an individual health care provider with primary practice located at 3901 Treyburn Dr Suite B, Williamsburg VA 23185-2891. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Chisam, Mark Ewing can be contacted via phone (757) 220-4900.Contact Information
Primary practice address
3901 Treyburn Dr Suite B
Williamsburg VA 23185-2891
Phone: (757) 220-4900
Fax: (757) 565-5328
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 0101054200 | Virginia |
Profile Details
| NPI number | 1053381251 |
|---|---|
| LBN Legal business name | Chisam, Mark Ewing |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Oct 3rd, 2013 - about 11 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 | 1053381251 | NPPES |
| Virginia | MEDICAID | 1053381251 |
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