Doctor Name: | CHARLES E CHATFIELD |
NPI Number: | 1548238330 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | NP-C |
License Number: | 136963 |
Business Practice Address: | 901 N. Riverside Rd., Suite 3800 St Joseph, MO - 645066201 |
Business Phone Number: | 8166714800 |
Business Fax Number: | 8162334021 |
Mailing Address: | 901 N. Riverside Rd.,, Suite 3800 ST JOSEPH |
State: | MO |
Postal Code: | 645066201 |
Phone Number: | 8166714800 |
Fax Number: | 8162334021 |
NPI Enumeration Date: | 03/09/2006 |
NPI Last Update Date: | 05/07/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 136963 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |