| Doctor Name: | HOLLACE D CHASTAIN |
| NPI Number: | 1013919422 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 01039775A |
| Business Practice Address: | 11108 Parkview Circle Dr Fort Wayne, IN - 468451730 |
| Business Phone Number: | 2602665700 |
| Business Fax Number: | 2602665920 |
| Mailing Address: | 1234 E Dupont Rd, Suite 3 FORT WAYNE |
| State: | IN |
| Postal Code: | 468251545 |
| Phone Number: | 2603739728 |
| Fax Number: | 2604585664 |
| NPI Enumeration Date: | 08/15/2005 |
| NPI Last Update Date: | 01/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RC0000X |
| License Number: | 01039775A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Cardiovascular Disease |
| Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |