MEDICARE: STEVEN K CHASE D.P.M. P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	126	TN

General Provider Information

NPI Number	:	1124260575
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEVEN K CHASE D.P.M. P.C.

Provider Business Mailing Address
First Line	:	7174 US HIGHWAY 64
Second Line	:	123
City	:	BARTLETT
State	:	TN
Zip	:	38133-8954
Country	:	US
Telephone Number	:	901-386-0525
Fax Number	:	901-386-0500

Provider Business Practice Location Address
First Line	:	7174 US HIGHWAY 64
Second Line	:	123
City	:	BARTLETT
State	:	TN
Zip	:	38133-8954
Country	:	US
Telephone Number	:	901-386-0525
Fax Number	:	901-386-0500

Authorized Official
Title or Position	:	PRESIDENT
Name	:	STEVEN K CHASE
Credential	:	DPM
Telephone Number	:	901-386-0525

Provider Enumeration Date	:	04/01/2009
Last Update Date	:	04/09/2009

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