MEDICARE: WILLIAM H. CHICKERING MD

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	207Q00000X	Family Medicine Physician	0101231418	VA
2	207P00000X	Emergency Medicine Physician	0101231418	VA

General Provider Information

NPI Number	:	1225026891
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM H. CHICKERING MD

Provider Business Mailing Address
First Line	:	501 MAPLE AVE
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23226-2645
Country	:	US
Telephone Number	:	804-303-0075
Fax Number	:

Provider Business Practice Location Address
First Line	:	501 MAPLE AVE
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23226-2645
Country	:	US
Telephone Number	:	804-303-0075
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/07/2005
Last Update Date	:	09/07/2023

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Directions to “ WILLIAM H. CHICKERING MD” Practice Location

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