David Chastain
Individual provider Active NPI Registered Nurse · Charlestown, IN
NPI 1144688698 · NPPES record last updated Jan 29, 2016
Key facts
- NPI
- 1144688698
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 28208264A (IN)
- Practice address
- 7509 Charlestown Pike
Charlestown, IN 47111-9623 - Phone
- (812) 256-4686
- NPI assigned
- Jan 29, 2016
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28208264A | IN | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28208264A | IN | Yes |
Addresses
Primary practice location
7509 Charlestown Pike
Charlestown, IN 47111-9623
Mailing address
7509 Charlestown Pike
Charlestown, IN 47111-9623
Other providers in Charlestown, IN
- Tavance Cary
- Laramie Cecil
- Charlestown Primary Care LLC
- Charlestown Surgical Associates, PSC
- Charlestown Volunteer Fire Dept
- Clark Emergenc Y Group, LLC
- William Cleasant
- Michele Renee Cole
- Regan M Comer
- Catherine Coomer
All providers in Charlestown, IN · Registered Nurse in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.