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NPI Code Detail

MEDICARE: MR. CHAD A TRUMAN PA-C

MEDICARE: MR. CHAD A TRUMAN PA-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
1363A00000XPhysician AssistantPA9105021FL
2363AS0400XSurgical Physician AssistantPA9105021FL
3363AS0400XSurgical Physician AssistantPA.352AL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P01024462OTHERFLMEDICARE RAILROAD PROVIDER NUMBER

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659372092
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CHAD A TRUMAN PA-C
Provider Business Mailing Address
First Line : 201 GOVERNORS DR SW FL 1
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35801-5171
Country : US
Telephone Number : 256-801-6049
Fax Number : 256-539-0856
Provider Business Practice Location Address
First Line : 201 GOVERNORS DR SW FL 1
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35801-5171
Country : US
Telephone Number : 256-533-1600
Fax Number : 256-539-0856
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2005
Last Update Date : 03/05/2019

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Directions to “ MR. CHAD A TRUMAN PA-C” Practice Location

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