1447572458 NPI number — CHAD T PRICE MD PC

Table of content: (NPI 1447572458)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447572458 NPI number — CHAD T PRICE MD PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CHAD T PRICE MD PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1447572458
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/13/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
300 20TH AVE N
Provider Second Line Business Mailing Address:
SUITE G-1
Provider Business Mailing Address City Name:
NASHVILLE
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37203-2131
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-284-7035
Provider Business Mailing Address Fax Number:
615-284-7041

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
300 20TH AVE N
Provider Second Line Business Practice Location Address:
SUITE G-1
Provider Business Practice Location Address City Name:
NASHVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37203-2131
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-284-7035
Provider Business Practice Location Address Fax Number:
615-284-7041
Provider Enumeration Date:
02/17/2010

Additional Information

Authorized Official

Authorized Official Last Name:
PRICE
Authorized Official First Name:
CHAD
Authorized Official Middle Name:
THOMAS
Authorized Official Title or Position:
OWNER/PHYSICIAN
Authorized Official Telephone Number:
615-284-7035

Provider Taxonomy Codes

  • Taxonomy code: 207X00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 615068300 . This is a "US DEPARTMENT OF LABOR" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
  • Identifier: 11777110 . This is a "CAQH" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".




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