Provider Demographics
NPI:1407021926
Name:STEVE K CHASE DPM PC
Entity Type:Organization
Organization Name:STEVE K CHASE DPM PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROP
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:K
Authorized Official - Last Name:CHASE
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:901-386-0525
Mailing Address - Street 1:7174 STAGE RD. SUITE 123
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:TN
Mailing Address - Zip Code:38133-8954
Mailing Address - Country:US
Mailing Address - Phone:901-386-0525
Mailing Address - Fax:901-386-0500
Practice Address - Street 1:7174 STAGE RD STE 123
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38133-8954
Practice Address - Country:US
Practice Address - Phone:901-386-0525
Practice Address - Fax:901-386-0500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-25
Last Update Date:2010-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDPM126213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0130540001Medicare NSC