Provider Demographics
NPI:1447544887
Name:CHASE SURGICAL SOLUTIONS, LLC
Entity type:Organization
Organization Name:CHASE SURGICAL SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN ASSISTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHASIE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:HAUPT
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:941-806-8699
Mailing Address - Street 1:874 HILLCREST DR
Mailing Address - Street 2:
Mailing Address - City:NOKOMIS
Mailing Address - State:FL
Mailing Address - Zip Code:34275-2374
Mailing Address - Country:US
Mailing Address - Phone:941-806-8699
Mailing Address - Fax:
Practice Address - Street 1:874 HILLCREST DR
Practice Address - Street 2:
Practice Address - City:NOKOMIS
Practice Address - State:FL
Practice Address - Zip Code:34275-2374
Practice Address - Country:US
Practice Address - Phone:941-806-8699
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-02
Last Update Date:2011-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9101528363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Multi-Specialty