Chastain, Jeremy Ray
Chastain, Jeremy Ray is an sole proprietor health care provider with primary practice located at 2211 Lomas Blvd Ne , Albuquerque NM 87106-2719. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Chastain, Jeremy Ray can be contacted via phone (405) 659-4962.Contact Information
Primary practice address
2211 Lomas Blvd Ne
Albuquerque NM 87106-2719
Phone: (405) 659-4962
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD2024-0731 | New Mexico |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | MD2024-0731 | New Mexico |
Profile Details
| NPI number | 1316200538 |
|---|---|
| LBN Legal business name | Chastain, Jeremy Ray |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 21st, 2012 |
| Last updated | Dec 4th, 2024 - about 2 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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