Chisum, Johnathon
Chisum, Johnathon is an individual health care provider with primary practice located at 70 Medical Center Cir Ste 103 , Fishersville VA 22939-2273. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Chisum, Johnathon can be contacted via phone (540) 245-7400.Contact Information
Primary practice address
70 Medical Center Cir Ste 103
Fishersville VA 22939-2273
Phone: (540) 245-7400
Fax: (540) 245-7401
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0110001268 | Virginia |
Profile Details
| NPI number | 1538104138 |
|---|---|
| LBN Legal business name | Chisum, Johnathon |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2006 |
| Last updated | Jun 22nd, 2023 - about 2 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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