CHAD TIDWELL DO
NPI 1396366720
Student in an Organized Health Care Education/Training Program in Detroit, MI
About Chad Tidwell Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHAD TIDWELL DO (NPI 1396366720) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Chad Tidwell Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DETROIT, MI 48201
DETROIT, MI 48201
DETROIT, MI 48201
DETROIT, MI 48201
DETROIT, MI 48201
DETROIT, MI 48201
DETROIT, MI 48201
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396366720, enumerated as an "individual" on April 27, 2020.
The provider is located at 4201 SAINT ANTOINE ST # 9C DETROIT, MI 48201 and the phone number is (313) 993-7385.
Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.
