Individual
CHAD EDWARD BAISDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
68147
WV
367500000X
Certified Registered Nurse Anesthetist
Primary
085350
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810020883
—
WV
01
—
P00962442
RAILROAD
WV
Enumeration date
07/12/2011
Last updated
10/13/2011
Update your record
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