Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 2003-00453 | NC |
NPI | 1366428740 |
---|---|
Provider Name | Dr. Alexander Walter Chasnis |
First Address | Charlotte, NC 28209-3239 |
Second Address | Huntersville, NC 28078-7217 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2005 |
Last Update Date | 22/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1366428740 | (05) | NC |
H84951 | (02) | NC |
N0045B | (05) | SC |