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NPI Code Detail

MEDICARE: DR. SHELDON CHASE M.D.

MEDICARE:  DR. SHELDON  CHASE  M.D.
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
12084P0800XPsychiatry Physician19104NC

General Provider Information

NPI Number : 1558317214
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHELDON CHASE M.D.
Provider Business Mailing Address
First Line : 859 WASHINGTON ST
Second Line :
City : RALEIGH
State : NC
Zip : 27605-3259
Country : US
Telephone Number : 919-828-9937
Fax Number : 919-828-4287
Provider Business Practice Location Address
First Line : 859 WASHINGTON ST
Second Line :
City : RALEIGH
State : NC
Zip : 27605-3259
Country : US
Telephone Number : 919-828-9937
Fax Number : 919-828-4287
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2006
Last Update Date : 07/08/2007

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Directions to “ DR. SHELDON CHASE M.D.” Practice Location

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