David Chadbourne

LBN: David Chadbourne
David Chadbourne is an health care organization with primary practice located at 125 Liberty St Suite 206, Springfield MA 01104. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. David Chadbourne can be contacted via phone (413) 746-4800, or through Chadbourne, David M via phone (413) 746-4800.

Contact Information

Primary practice address
125 Liberty St Suite 206 Springfield MA 01104
Phone: (413) 746-4800
Fax: (413) 746-4844
Website:
Map and Directions
Authorized official contact:
Name: Chadbourne, David M Doctor of Medicine (MD)
Phone: (413) 746-4800

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X

Profile Details

NPI number 1053394395
LBN Legal business name David Chadbourne
DBA Doing business as
Authorized official Chadbourne, David M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 21st, 2005
Last updated May 1st, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053394395 NPPES
Massachusetts Other M18074 BLUE CROSS GRP

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