Chamberlain, Donald Heaston

Chamberlain, Donald Heaston is an individual health care provider with primary practice located at 1000 E 3Rd St Suite 201, Chattanooga TN 37403-2106. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as his primary health care specialty. Chamberlain, Donald Heaston can be contacted via phone (423) 698-2050.

Contact Information

Primary practice address
1000 E 3Rd St Suite 201 Chattanooga TN 37403-2106
Phone: (423) 698-2050
Fax: (423) 698-2095
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 01078802A Indiana
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 45182 Georgia
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 30309 Tennessee

Profile Details

NPI number 1760432363
LBN Legal business name Chamberlain, Donald Heaston
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Jan 18th, 2019 - about 6 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 1760432363 NPPES
Indiana MEDICAID 300003635

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