Provider / Organization | NPI | Date Certified |
---|---|---|
MAURICE ALLEN DALE CHESSMORE | 1134783079 | 2023-05-06 |
Maurice Allen Dale Chessmore [M] graduated in 2019 from Nebraska College Of Medicine and primarily specializes in Family Medicine.
Maurice Allen Dale Chessmore is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1134783079. Registration indicates Maurice Allen Dale Chessmore is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) Access to Adult/Geriatric Primary Care Providers (Allopathic & Osteopathic Physicians, Family Medicine) Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Family Medicine) (Allopathic & Osteopathic Physicians, Family Medicine) (Family Medicine, ) (Primary Care/Family Planning/APRN/PA, ) (Family Medicine, Allopathic & Osteopathic Physicians)
PECOS ID | 42623449 |
Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
Entity Type | Individual |
Provider Name | Maurice Allen Dale Chessmore MD |
Practice Office Address | 1115 E 20TH ST SIOUX FALLS, SD US |
Practice Office Telephone | 6055751644 |
Mailing Address | 708 8TH STREET ARMOUR, SD 57313 US |
Business Telephone | 6057242151 |
Business Fax | 6057242310 |
Code | Practice | License No State |
---|---|---|
390200000X | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | |
207Q00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Family MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Family Medicine Allopathic & Osteopathic Physicians Family Medicine Family Medicine Primary Care/Family Planning/APRN/PA Family Medicine Allopathic & Osteopathic Physicians | 13562
SD |