Lawrence, Chad

Lawrence, Chad is an individual health care provider with primary practice located at 105 W Stone Dr Ste 4B , Kingsport TN 37660-3365. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Lawrence, Chad can be contacted via phone (423) 578-1560.

Contact Information

Primary practice address
105 W Stone Dr Ste 4B Kingsport TN 37660-3365
Phone: (423) 578-1560
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 747 Tennessee

Profile Details

NPI number 1740617067
LBN Legal business name Lawrence, Chad
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2013
Last updated Mar 17th, 2018 - about 7 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 1740617067 NPPES
Tennessee MEDICAID Q023312

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