Chegwidden, Thomas G.

Chegwidden, Thomas G. is an individual health care provider with primary practice located at 700 E Broad St , Hazleton PA 18201-6835. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Chegwidden, Thomas G. can be contacted via phone (570) 501-4000.

Contact Information

Primary practice address
700 E Broad St Hazleton PA 18201-6835
Phone: (570) 501-4000
Fax: (570) 501-6203
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN199182L Pennsylvania

Profile Details

NPI number 1023010014
LBN Legal business name Chegwidden, Thomas G.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Dec 2nd, 2009 - about 17 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 1023010014 NPPES
Pennsylvania MEDICAID PENDING

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