Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | 54960 | KY |
NPI | 1083008346 |
---|---|
Provider Name | Dr. Steve Chausse |
First Address | Cincinnati, OH 45267-0513 |
Second Address | Edgewood, KY 41017-5401 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2015 |
Last Update Date | 06/07/2021 |