Chisenhall, Autumn C
Chisenhall, Autumn C is an individual health care provider with primary practice located at 91 Enterprise Dr , Rocky Mount NC 27804-9590. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Chisenhall, Autumn C can be contacted via phone (252) 451-3100.Contact Information
Primary practice address
91 Enterprise Dr
Rocky Mount NC 27804-9590
Phone: (252) 451-3100
Fax: (252) 937-3106
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2022-01170 | North Carolina |
Profile Details
| NPI number | 1427519149 |
|---|---|
| LBN Legal business name | Chisenhall, Autumn C |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 26th, 2019 |
| Last updated | Feb 10th, 2023 - about last year |
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 | 1427519149 | NPPES |
| North Carolina | MEDICAID | 1427519149 |
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