Porter, Chadwick Hagan
Porter, Chadwick Hagan is an individual health care provider with primary practice located at 1633 W Main St # 200 , Lebanon TN 37087-3423. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Porter, Chadwick Hagan can be contacted via phone (615) 449-3222.Contact Information
Primary practice address
1633 W Main St # 200
Lebanon TN 37087-3423
Phone: (615) 449-3222
Fax: (615) 449-3202
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 8678 | Tennessee |
Profile Details
| NPI number | 1629265640 |
|---|---|
| LBN Legal business name | Porter, Chadwick Hagan |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2007 |
| Last updated | Jul 12th, 2013 - about 12 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 | 1629265640 | NPPES |
| Tennessee | MEDICAID | 1501181 |
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