Individual
JOSEPH W CHANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1265 UNION AVE, MEMPHIS, TN 38104-3415
(901) 725-5846
Mailing address
6060 PRIMACY PKWY, SUITE 241, MEMPHIS, TN 38119-5745
(901) 725-5846
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
15513
TN
207L00000X
Anesthesiology Physician
24414
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00124734
—
MS
05
—
113668001
—
AR
05
—
203462809
—
MO
05
—
3027484
—
TN
01
—
3036864
BLUECROSS BLUESHIELD
TN
01
—
50046014
MEDICARE RAILROAD
—
01
—
92420
BLUECROSS BLUESHIELD
AR
Enumeration date
12/19/2005
Last updated
11/03/2016
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