Provider Demographics
NPI:1821096298
Name:HUTCHINSON, CHAD H (MD)
Entity Type:Individual
Prefix:DR
First Name:CHAD
Middle Name:H
Last Name:HUTCHINSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:990 SYLVAN WAY
Mailing Address - Street 2:
Mailing Address - City:BREMERTON
Mailing Address - State:WA
Mailing Address - Zip Code:98310-2851
Mailing Address - Country:US
Mailing Address - Phone:360-479-3657
Mailing Address - Fax:360-373-7616
Practice Address - Street 1:990 SYLVAN WAY
Practice Address - Street 2:
Practice Address - City:BREMERTON
Practice Address - State:WA
Practice Address - Zip Code:98310-2851
Practice Address - Country:US
Practice Address - Phone:360-479-3657
Practice Address - Fax:360-373-7616
Is Sole Proprietor?:No
Enumeration Date:2005-07-11
Last Update Date:2009-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00031559207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAHU5764OtherREGENCE BLUE SHIELD
WA016487001OtherGROUP HEALTH CORP
WA910847215OtherPREMERA BLUE CROSS
WA8934013OtherVICTIMS OF CRIME
WA91084721526OtherKPS
WA8018319Medicaid
WA910847215OtherUNIFORM MEDICAL
WA050046490OtherRAILROAD MEDICARE
WA108094OtherLABOR AND INDUSTRIES
WA910847215OtherUNIFORM MEDICAL
WA8018319Medicaid