Huckabay, Chadwick Paul

Huckabay, Chadwick Paul is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Huckabay, Chadwick Paul can be contacted via phone (601) 984-5185.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Fax: (601) 984-5190
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 48147 Minnesota
Allopathic & Osteopathic Physicians / Urology 208800000X 20977 Mississippi

Profile Details

NPI number 1922032481
LBN Legal business name Huckabay, Chadwick Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Apr 1st, 2014 - about 10 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 1922032481 NPPES
Minnesota Other 1044163 PREFERRED ONE
Minnesota Other 19-00700 PREFERRED ONE
Minnesota MEDICAID 842988000 PREFERRED ONE
Minnesota MEDICAID 0597914 PREFERRED ONE
Minnesota MEDICAID 157409 PREFERRED ONE
Minnesota Other P01227738 PREFERRED ONE
Minnesota Other 19-00018 PREFERRED ONE
Minnesota Other HP54551 PREFERRED ONE
Minnesota MEDICAID 04509838 PREFERRED ONE
Minnesota Other 132996 PREFERRED ONE
Minnesota Other 2376915 PREFERRED ONE
Minnesota Other 490K6HU PREFERRED ONE

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