Chastain, Misty Love

Chastain, Misty Love is an individual health care provider with primary practice located at 171 Ashley Ave , Charleston SC 29425-7826. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Chastain, Misty Love can be contacted via phone (843) 792-1414.

Contact Information

Primary practice address
171 Ashley Ave Charleston SC 29425-7826
Phone: (843) 792-1414
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 103816 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2825 South Carolina

Profile Details

NPI number 1790867117
LBN Legal business name Chastain, Misty Love
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Sep 18th, 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 1790867117 NPPES
North Carolina Other P99126 UPIN

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