Stephen Lacky Chastain

LBN: Stephen Lacky Chastain
Stephen Lacky Chastain is an health care organization with primary practice located at 5850 Se Community Dr , Stuart FL 34997-6420. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Stephen Lacky Chastain can be contacted via phone (772) 324-3901, or through Marshall, Regina via phone (772) 581-3991.

Contact Information

Primary practice address
5850 Se Community Dr Stuart FL 34997-6420
Phone: (772) 324-3901
Fax: (772) 324-3019
Website:
Map and Directions
Authorized official contact:
Name: Marshall, Regina
Phone: (772) 581-3991

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME114042 Florida

Profile Details

NPI number 1386018984
LBN Legal business name Stephen Lacky Chastain
DBA Doing business as
Authorized official Marshall, Regina
Entity Organization
Organization subpart 1 No
Enumeration date Nov 19th, 2015
Last updated Nov 19th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386018984 NPPES
Florida MEDICAID 009031100
Florida Other 61656
Florida Other ME114042

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