Chastain, Stephen Lackey

Chastain, Stephen Lackey is an sole proprietor health care provider with primary practice located at 5850 Se Community Dr , Stuart FL 34997-6420. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Chastain, Stephen Lackey can be contacted via phone (772) 324-3500.

Contact Information

Primary practice address
5850 Se Community Dr Stuart FL 34997-6420
Phone: (772) 324-3500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 00014657 Alabama
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 33627 South Carolina
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME114042 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME114042 Florida

Profile Details

NPI number 1194784256
LBN Legal business name Chastain, Stephen Lackey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 18th, 2006
Last updated May 9th, 2013 - about 13 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 1194784256 NPPES
Alabama MEDICAID 00083765
Alabama MEDICAID 336274
Alabama Other 51083765

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