Provider Demographics
NPI:1710977947
Name:CHASE, FRANK YATES (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:YATES
Last Name:CHASE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:367 S. GULPH RD
Mailing Address - Street 2:ATT: IPM CREDENTIALING
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-3121
Mailing Address - Country:US
Mailing Address - Phone:803-648-1318
Mailing Address - Fax:
Practice Address - Street 1:410 UNIVERSITY PKWY STE 2310
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29801-6835
Practice Address - Country:US
Practice Address - Phone:803-648-1318
Practice Address - Fax:803-226-0111
Is Sole Proprietor?:No
Enumeration Date:2005-10-27
Last Update Date:2019-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SC27007208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC270076Medicaid
SCH59078Medicare UPIN
SC270076Medicaid
SC270076Medicaid