Nall, Chad

Nall, Chad is an individual health care provider with primary practice located at 3555 S National Ave Fl 2 , Springfield MO 65807-7310. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Nall, Chad can be contacted via phone (417) 875-3800.

Contact Information

Primary practice address
3555 S National Ave Fl 2 Springfield MO 65807-7310
Fax: (417) 875-3176
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 2005008043 Missouri

Profile Details

NPI number 1619075975
LBN Legal business name Nall, Chad
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Dec 27th, 2018 - about 6 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 1619075975 NPPES
Missouri MEDICAID 220024489

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