Washington, Chad Wayne

Washington, Chad Wayne is an individual health care provider with primary practice located at 2500 North State Street , Jackson MS 39216-4500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Washington, Chad Wayne can be contacted via phone (601) 984-5706.

Contact Information

Primary practice address
2500 North State Street Jackson MS 39216-4500
Phone: (601) 984-5706
Fax: (601) 984-5733
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 2012006604 Missouri
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 23739 Mississippi

Profile Details

NPI number 1649460999
LBN Legal business name Washington, Chad Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2007
Last updated Jun 29th, 2016 - about 10 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 1649460999 NPPES
Mississippi MEDICAID 184168
Mississippi MEDICAID 04954267
Mississippi Other P01653140

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