Vanasselberg, Chad Benjamin
Vanasselberg, Chad Benjamin is an individual health care provider with primary practice located at 1203 S Tyler St Suite 200, Covington LA 70433. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Vanasselberg, Chad Benjamin can be contacted via phone (985) 892-9143.Contact Information
Primary practice address
1203 S Tyler St Suite 200
Covington LA 70433
Phone: (985) 892-9143
Fax: (985) 892-9656
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | T-1994 | Mississippi |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 206801 | Louisiana |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 206801 | Louisiana |
Profile Details
| NPI number | 1265630826 |
|---|---|
| LBN Legal business name | Vanasselberg, Chad Benjamin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2007 |
| Last updated | Jul 10th, 2018 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265630826 | NPPES |
| Louisiana | MEDICAID | 2357620 |
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