Andersen, Chad

Andersen, Chad is an sole proprietor health care provider with primary practice located at 3658 W Goldmine Mountain Dr , San Tan Valley AZ 85142-6593. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Andersen, Chad can be contacted via phone (480) 388-6121.

Contact Information

Primary practice address
3658 W Goldmine Mountain Dr San Tan Valley AZ 85142-6593
Phone: (480) 388-6121
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 230938 Arizona

Profile Details

NPI number 1881240919
LBN Legal business name Andersen, Chad
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2019
Last updated Aug 14th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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