Rastatter, Chadwick Towne

Rastatter, Chadwick Towne is an individual health care provider with primary practice located at 5511 S Congress Ave Ste 105 , Atlantis FL 33462-1140. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Rastatter, Chadwick Towne can be contacted via phone (561) 964-1632.

Contact Information

Primary practice address
5511 S Congress Ave Ste 105 Atlantis FL 33462-1140
Phone: (561) 964-1632
Fax: (561) 964-1636
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME128084 Florida
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X TRN16783 Florida

Profile Details

NPI number 1295016350
LBN Legal business name Rastatter, Chadwick Towne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2011
Last updated Jul 21st, 2022 - about 2 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 1295016350 NPPES
Florida MEDICAID 021033400

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