Provider Demographics
NPI:1386736841
Name:CHAVIN, MICHAEL ALAN (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:ALAN
Last Name:CHAVIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1124 N BROADWAY ST
Mailing Address - Street 2:MORRISTOWN PAIN CONSULTANTS DBA BROADWAY NECK AND SPINE
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37917-6527
Mailing Address - Country:US
Mailing Address - Phone:865-444-5059
Mailing Address - Fax:865-540-6804
Practice Address - Street 1:1124 N BROADWAY ST
Practice Address - Street 2:MORRISTOWN PAIN CONSULTANTS DBA BROADWAY NECK AND SPINE
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37917-6527
Practice Address - Country:US
Practice Address - Phone:865-444-5059
Practice Address - Fax:865-540-6804
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2017-02-28
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Provider Licenses
StateLicense IDTaxonomies
TNMD32281207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3848929Medicaid
TN4031461OtherBCBS
TN050081200OtherRAILROAD MEDICARE
TN3848929Medicaid
D60968Medicare UPIN