Chisholm, Md, David Reginald
Chisholm, Md, David Reginald is an individual health care provider with primary practice located at 500 E Swanson #3 , Wasilla AK 99654. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Chisholm, Md, David Reginald can be contacted via phone (907) 357-6180.Contact Information
Primary practice address
500 E Swanson #3
Wasilla AK 99654
Phone: (907) 357-6180
Fax: (907) 357-6184
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | AK4075 | Alaska |
Profile Details
| NPI number | 1427156868 |
|---|---|
| LBN Legal business name | Chisholm, Md, David Reginald |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1427156868 | NPPES |
| Alaska | MEDICAID | MD12811 |
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