Beretta, Kallie Chapman
Beretta, Kallie Chapman is an sole proprietor health care provider with primary practice located at 4401 Riverchase Dr , Phenix City AL 36867-7483. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Beretta, Kallie Chapman can be contacted via phone (334) 732-3000.Contact Information
Primary practice address
4401 Riverchase Dr
Phenix City AL 36867-7483
Phone: (334) 732-3000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 8423336 | Nevada |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 26463 | South Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | RN2339414 | Massachusetts |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | APRN-195940 | Montana |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 1-149837 | Alabama |
Profile Details
| NPI number | 1306465935 |
|---|---|
| LBN Legal business name | Beretta, Kallie Chapman |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 14th, 2020 |
| Last updated | May 22nd, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306465935 | NPPES |
| Massachusetts | MEDICAID | 110164311A |
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