Beaver, Chadwick Dale

Beaver, Chadwick Dale is an individual health care provider with primary practice located at 3601 21St St , Lubbock TX 79410-1229. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Beaver, Chadwick Dale can be contacted via phone (806) 791-0399.

Contact Information

Primary practice address
3601 21St St Lubbock TX 79410-1229
Phone: (806) 791-0399
Fax: (806) 791-0373
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP118578 Texas

Profile Details

NPI number 1194054239
LBN Legal business name Beaver, Chadwick Dale
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2009
Last updated Jan 20th, 2022 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1194054239 NPPES
Texas Other 8295NS BCBS
Texas MEDICAID 308679503 BCBS
Texas Other 335111YKT8 BCBS

Popular Providers