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NPI Code Detail

MEDICARE: STEWART CHASE MD

MEDICARE:   STEWART  CHASE  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
12085R0202XDiagnostic Radiology Physician35027428OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100000007652OTHEROHBC/BS INDIVIDUAL PIN NO
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619975133
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEWART CHASE MD
Provider Business Mailing Address
First Line : PO BOX 710964
Second Line :
City : COLUMBUS
State : OH
Zip : 43271-0964
Country : US
Telephone Number : 866-287-3268
Fax Number :
Provider Business Practice Location Address
First Line : 1275 N HIGH ST
Second Line :
City : HILLSBORO
State : OH
Zip : 45133-8273
Country : US
Telephone Number : 937-393-6126
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2005
Last Update Date : 07/18/2007

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Directions to “ STEWART CHASE MD” Practice Location

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