Individual
RONALD D CHATTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
515 MAIN ST, MADISON, WV 25130
(304) 369-0393
(304) 369-0371
Mailing address
97 GREAT TEAYS BLVD STE 6, SCOTT DEPOT, WV 25560-9816
(304) 757-6999
(304) 201-5019
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
943
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001721604
MS BCBS
WV
05
—
0050947000
—
WV
01
—
7027055
AETNA
WV
01
—
P00369960
RR MEDICARE
WV
Enumeration date
07/28/2006
Last updated
07/05/2019
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