Huston, Chad A
Huston, Chad A is an individual health care provider with primary practice located at 415 N 9Th St 6Th Floor, Springfield IL 62702-5317. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Huston, Chad A can be contacted via phone (217) 545-5117.Contact Information
Primary practice address
415 N 9Th St 6Th Floor
Springfield IL 62702-5317
Phone: (217) 545-5117
Fax: (217) 545-9217
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 036092561 | Illinois |
Profile Details
| NPI number | 1477534428 |
|---|---|
| LBN Legal business name | Huston, Chad A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2005 |
| Last updated | Oct 27th, 2020 - about 4 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 | 1477534428 | NPPES |
| Illinois | MEDICAID | 036092561 |
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