Martin - Chafee, Edward B

Martin - Chafee, Edward B is an individual health care provider with primary practice located at 1200 Sixth Ave N , St Cloud MN 56303-2735. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Cardiology, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Pediatric Cardiology is his primary health care specialty. Martin - Chafee, Edward B can be contacted via phone (320) 251-2700.

Contact Information

Primary practice address
1200 Sixth Ave N St Cloud MN 56303-2735
Phone: (320) 251-2700
Fax: (320) 240-2118
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 34891 Minnesota
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 34891 Minnesota

Profile Details

NPI number 1295728848
LBN Legal business name Martin - Chafee, Edward B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Mar 23rd, 2015 - about 11 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 1295728848 NPPES
Other 690476 FIRST HEALTH PLAN
Other 370015977 FIRST HEALTH PLAN
Other 90051 FIRST HEALTH PLAN
Other CQ2388 FIRST HEALTH PLAN
Other 1207854 FIRST HEALTH PLAN
Other 074563400 FIRST HEALTH PLAN
Other 1012096 FIRST HEALTH PLAN
Other 115598 FIRST HEALTH PLAN
Other 4700063P FIRST HEALTH PLAN
MEDICAID 074563400 FIRST HEALTH PLAN
Other HP20318 FIRST HEALTH PLAN
Other 51G94MA FIRST HEALTH PLAN

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