Stephen Lackey Chastain in Sebastian - Internal Medicine

Stephen Lackey Chastain - NPI 1194784256

Stephen Lackey Chastain is a Internal Medicine in Sebastian, Florida. Stephen Lackey Chastain practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Stephen Lackey Chastain is 1194784256. The last update date is 2013-05-09.

Stephen Lackey Chastain's current location address is 9611 N Us Highway 1, Sebastian, Florida. You can contact this provider via phone number 7725813990 and fax number 7725813991. The mailing address for Stephen Lackey Chastain is 9611 N Us Highway 1, Sebastian, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephen Lackey Chastain
Address 9611 N Us Highway 1, Sebastian, Florida
Phone Number 7725813990
Fax Number 7725813991
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1194784256
Provider Enumeration Date 2006-03-18
Last Updated Date 2013-05-09

Provider Mailing Address Detail

Address 9611 N Us Highway 1
City Sebastian
State Florida (FL)
Post Code 329586363
Phone Number 7725813990
Fax Number 7725813991

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 14657
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
83765 AL --
336274 SC --
51083765 AL BLUE CROSS BLUE SHIELD

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FAQs about Stephen Lackey Chastain

What is the unique identifier code issued to Stephen Lackey Chastain by the Centers for Medicare & Medicaid Services (CMS)?

The Stephen Lackey Chastain has been assigned the NPI (National Provider Identifier) 1194784256. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of Stephen Lackey Chastain?

The Stephen Lackey Chastain is situated at 9611 N Us Highway 1, in the city of Sebastian, state of FL, with the zip code 329586363.

What is Stephen Lackey Chastain's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Stephen Lackey Chastain is Internal Medicine, and the corresponding taxonomy classification code for this specialized field is 207R00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1194784256 to Stephen Lackey Chastain?

The Centers for Medicare & Medicaid Services assigned the 1194784256 to Stephen Lackey Chastain on 2006-03-18.

As of what date were the details pertaining to Stephen Lackey Chastain last refreshed?

The information related to the Stephen Lackey Chastain, including its address, specialty, and other relevant details, was last updated on 2013-05-09.

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