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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053419101 | NPPES |
| North Carolina | MEDICAID | 7795256 |
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