Chipman, Donald Dyrone

Chipman, Donald Dyrone is an individual health care provider with primary practice located at 1034 Mar Walt Dr Suite 100, Fort Walton Beach FL 32547-6639. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Chipman, Donald Dyrone can be contacted via phone (850) 862-2153.

Contact Information

Primary practice address
1034 Mar Walt Dr Suite 100 Fort Walton Beach FL 32547-6639
Phone: (850) 862-2153
Fax: (850) 474-4123
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X ME93636 Florida

Profile Details

NPI number 1740287564
LBN Legal business name Chipman, Donald Dyrone
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Mar 7th, 2023 - about 3 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 1740287564 NPPES
Other 11456626 CAQH
MEDICAID APPLYING CAQH
Other ME93636 CAQH

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