Chase, Vernon A
Chase, Vernon A is an sole proprietor health care provider with primary practice located at 176 S Main St , Pontotoc MS 38863-3311. He recently has only one registered license in Emergency Medical Service Providers / Emergency Medical Technician, Basic, which is considered as his primary health care specialty. Chase, Vernon A can be contacted via phone (662) 488-7640.Contact Information
Primary practice address
176 S Main St
Pontotoc MS 38863-3311
Phone: (662) 488-7640
Fax: (662) 488-7675
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Emergency Medical Service Providers / Emergency Medical Technician, Basic | 146N00000X | 05771 | Mississippi |
Profile Details
| NPI number | 1356470983 |
|---|---|
| LBN Legal business name | Chase, Vernon A |
| Credentials | DR |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 2nd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1356470983 | NPPES |
| Mississippi | MEDICAID | 12626 |
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