Hitchcock, David Chad

Hitchcock, David Chad is an individual health care provider with primary practice located at 5000 Crossings Cir Suite 101, Mount Juliet TN 37122-8592. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Hitchcock, David Chad can be contacted via phone (615) 758-1010.

Contact Information

Primary practice address
5000 Crossings Cir Suite 101 Mount Juliet TN 37122-8592
Phone: (615) 758-1010
Fax: (615) 758-3875
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA0000002002 Tennessee

Profile Details

NPI number 1013285972
LBN Legal business name Hitchcock, David Chad
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2011
Last updated Feb 20th, 2017 - 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 1013285972 NPPES
Tennessee Other 6012066 BLUE CROSS-BLUE SHIELD
Tennessee Other P0102693 BLUE CROSS-BLUE SHIELD
Tennessee MEDICAID 1527481 BLUE CROSS-BLUE SHIELD

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