Candace C Chidester in Fairmont - General Practice

Candace C Chidester - NPI 1225198724

Candace C Chidester is a General Practice in Fairmont, . Candace C Chidester practices all healthcare services and medical treatments related to General Practice. The NPI Number for Candace C Chidester is 1225198724. The last update date is 2011-02-23.

Candace C Chidester's current location address is 1840 Locust Ave, Fairmont, . You can contact this provider via phone number 3043666907 and fax number 3043666216. The mailing address for Candace C Chidester is 1840 Locust Ave, Fairmont, . To know further, please read the information below!

Provider Profile Detail

Provider Name Candace C Chidester
Address 1840 Locust Ave, Fairmont,
Phone Number 3043666907
Fax Number 3043666216
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1225198724
Provider Enumeration Date 2006-12-12
Last Updated Date 2011-02-23

Provider Mailing Address Detail

Address 1840 Locust Ave
City Fairmont
State (WV)
Post Code 26554
Phone Number 3043666907
Fax Number 3043666216

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Licence No 12467
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
50726000 WV --
1721214 WV BC

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FAQs about Candace C Chidester

What is the unique 10-digit identifier code assigned to Candace C Chidester by the Centers for Medicare & Medicaid Services?

The Candace C Chidester has been issued the NPI (National Provider Identifier) 1225198724 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Candace C Chidester's facilities are geographically located?

The facilities of Candace C Chidester are physically situated at the following location: 1840 Locust Ave, Fairmont, WV, 26554.

What is the area of specialization for Candace C Chidester, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Candace C Chidester is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 208D00000X.

On what date was the 1225198724 assigned to Candace C Chidester?

The Candace C Chidester was issued its 1225198724 on 2006-12-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Candace C Chidester last refreshed?

The information related to the Candace C Chidester, including its address, specialty, and other relevant details, was last updated on 2011-02-23.

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