Caraway, Chad D.

Caraway, Chad D. is an individual health care provider with primary practice located at 1430 Jefferson St , Laurel MS 39440-4243. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Caraway, Chad D. can be contacted via phone (601) 425-2273.

Contact Information

Primary practice address
1430 Jefferson St Laurel MS 39440-4243
Phone: (601) 425-2273
Fax: (601) 425-1557
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X R791067 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R791067 Mississippi

Profile Details

NPI number 1205052164
LBN Legal business name Caraway, Chad D.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2007
Last updated Feb 11th, 2014 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205052164 NPPES
Mississippi MEDICAID 04988734

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