Doctor Name: | DR. STEPHEN M CHATELAIN |
NPI Number: | 1477529188 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. FACOG |
License Number: | R3974 |
Business Practice Address: | 9501 Baptist Health Drive Suite 810 Little Rock, AR - 722056225 |
Business Phone Number: | 5012178467 |
Business Fax Number: | 5012178468 |
Mailing Address: | 11001 Executive Center Drive, Suite 200 LITTLE ROCK |
State: | AR |
Postal Code: | 722114393 |
Phone Number: | 5012178467 |
Fax Number: | 5012178468 |
NPI Enumeration Date: | 02/23/2006 |
NPI Last Update Date: | 09/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | R3974 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AR |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |