Chitmon, Jim A

Chitmon, Jim A is an individual health care provider with primary practice located at 615 B South Memorial Dr , Greenville NC 27834. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter, which is considered as his primary health care specialty. Chitmon, Jim A can be contacted via phone (252) 752-0338.

Contact Information

Primary practice address
615 B South Memorial Dr Greenville NC 27834
Phone: (252) 752-0338
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter 225000000X 02771 North Carolina

Profile Details

NPI number 1053419101
LBN Legal business name Chitmon, Jim A
Credentials COF
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053419101 NPPES
North Carolina MEDICAID 7795256

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