Individual
CHAD M SHOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
400 MATTHEW ST STE 306, MARIETTA, OH 45750-1656
(740) 376-5044
(740) 374-1792
Mailing address
PO BOX 449, MARIETTA, OH 45750-0449
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.003457RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0071570
—
OH
Enumeration date
12/28/2011
Last updated
08/18/2020
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