Oliver, Chad

Oliver, Chad is an individual health care provider with primary practice located at 3800 S National Ave Fl 4 , Springfield MO 65807-5209. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Oliver, Chad can be contacted via phone (417) 875-2622.

Contact Information

Primary practice address
3800 S National Ave Fl 4 Springfield MO 65807-5209
Phone: (417) 875-2622
Fax: (417) 875-3718
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 2020010074 Missouri

Profile Details

NPI number 1841827854
LBN Legal business name Oliver, Chad
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2020
Last updated May 14th, 2020 - about 6 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 1841827854 NPPES
Missouri MEDICAID 220083129

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