Chism, Newton W

Chism, Newton W is an sole proprietor health care provider with primary practice located at 2400 Bellevue Rd #23 Erin Office Park, Dublin GA 31021-2885. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Chism, Newton W can be contacted via phone (478) 272-8580.

Contact Information

Primary practice address
2400 Bellevue Rd #23 Erin Office Park Dublin GA 31021-2885
Phone: (478) 272-8580
Fax: (478) 275-0012
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 017442 Georgia
Other Service Providers / Specialist 174400000X 017442 Georgia

Profile Details

NPI number 1366482507
LBN Legal business name Chism, Newton W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2006
Last updated Feb 1st, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366482507 NPPES
Georgia MEDICAID 00082233A
Georgia MEDICAID 300030912A

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