Annis, Chester O

Annis, Chester O is an individual health care provider with primary practice located at 3 12Th St , Berlin NH 03570-3860. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Annis, Chester O can be contacted via phone (603) 752-7404.

Contact Information

Primary practice address
3 12Th St Berlin NH 03570-3860
Phone: (603) 752-7404
Fax: (603) 752-5194
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 524 New Hampshire

Profile Details

NPI number 1871719393
LBN Legal business name Annis, Chester O
Credentials LMHC, LADAC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2007
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871719393 NPPES
New Hampshire Other 408 LCMHC
New Hampshire Other 524 LCMHC

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