Andrew Chichick IV, IDMT
Individual provider Active NPI Independent Duty Medical Technicians · Little Rock Afb, AR
NPI 1730314899 · NPPES record last updated May 19, 2009
Key facts
- NPI
- 1730314899
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Independent Duty Medical Technicians 1710I1003X
- Practice address
- 1090 Arnold Drive
19 Amds/SGPF
Little Rock Afb, AR 72099 - Phone
- (501) 987-7319
- Fax
- (501) 987-7349
- NPI assigned
- May 19, 2009
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Duty Medical Technicians | 1710I1003X | Yes |
Addresses
Primary practice location
1090 Arnold Drive
19 Amds/SGPF
Little Rock Afb, AR 72099
Mailing address
1090 Arnold Drive
19 Amds/SGPF
Little Rock Afb, AR 72099
Phone (501) 987-7319
Other providers in Little Rock Afb, AR
- Arnetha La'Tres Brooks
- James Steven Bryant
- Michael Burnett
- Andrew Campbell
- Bradley Charbonneau
- Valerie J Clegg
- Ashley Brett Coolman
- Thomas Richard Degraff III
- Patrick Depriest
- Mylinda Lou Dill
All providers in Little Rock Afb, AR · Independent Duty Medical Technicians in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2009. 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.