Chastain, Andrew Parke

Chastain, Andrew Parke is an individual health care provider with primary practice located at 705 Riley Hospital Dr Rr 208, Indianapolis IN 46202. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Chastain, Andrew Parke can be contacted via phone (317) 274-4715.

Contact Information

Primary practice address
705 Riley Hospital Dr Rr 208 Indianapolis IN 46202
Phone: (317) 274-4715
Fax: (317) 274-2065
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA19750 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10001065A Indiana

Profile Details

NPI number 1801056858
LBN Legal business name Chastain, Andrew Parke
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2008
Last updated May 15th, 2018 - about 8 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 1801056858 NPPES
Indiana MEDICAID 300012406

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