Chisholm, Sian
Chisholm, Sian is an individual health care provider with primary practice located at 1747 Baptist Clay Dr Ste 300 , Fleming Island FL 32003-8503. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Chisholm, Sian can be contacted via phone (904) 214-8100.Contact Information
Primary practice address
1747 Baptist Clay Dr Ste 300
Fleming Island FL 32003-8503
Phone: (904) 214-8100
Fax: (904) 214-8109
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | ME99207 | Florida |
Profile Details
| NPI number | 1346392800 |
|---|---|
| LBN Legal business name | Chisholm, Sian |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2007 |
| Last updated | Aug 10th, 2022 - about 3 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 | 1346392800 | NPPES |
| Georgia | MEDICAID | 460003010B | |
| Georgia | MEDICAID | 2784629-00 |
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