Mccalla, Chad David
Mccalla, Chad David is an individual health care provider with primary practice located at Medical Center Blvd , Winston Salem NC 27157-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as his primary health care specialty. Mccalla, Chad David can be contacted via phone (336) 716-4195.Contact Information
Primary practice address
Medical Center Blvd
Winston Salem NC 27157-0001
Phone: (336) 716-4195
Fax: (336) 716-3202
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 207PP0204X | 35.091483 | Ohio |
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 207PP0204X | 2011-00079 | North Carolina |
Profile Details
| NPI number | 1689881625 |
|---|---|
| LBN Legal business name | Mccalla, Chad David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2007 |
| Last updated | Jan 27th, 2016 - about 8 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 | 1689881625 | NPPES |
| North Carolina | MEDICAID | 5917702 |
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