Chaney, Martin V
Chaney, Martin V is an sole proprietor health care provider with primary practice located at 3205 Wisconsin Ave , Vicksburg MS 39180-5350. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Chaney, Martin V can be contacted via phone (601) 634-6080.Contact Information
Primary practice address
3205 Wisconsin Ave
Vicksburg MS 39180-5350
Phone: (601) 634-6080
Fax: (601) 634-6081
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2007 | Mississippi |
Profile Details
| NPI number | 1821150194 |
|---|---|
| LBN Legal business name | Chaney, Martin V |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 14th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1821150194 | NPPES |
| Mississippi | MEDICAID | 00060033 |
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