Bruton, Chase
Bruton, Chase is an individual health care provider with primary practice located at 1629 Wyoming Ave , San Angelo TX 76904-7152. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Assistive Technology Practitioner, which is considered as his primary health care specialty. Bruton, Chase can be contacted via phone (325) 212-0170.Contact Information
Primary practice address
1629 Wyoming Ave
San Angelo TX 76904-7152
Phone: (325) 212-0170
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Assistive Technology Practitioner | 225CA2400X | ATP50901 | Texas |
Profile Details
NPI number | 1144596297 |
---|---|
LBN Legal business name | Bruton, Chase |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 22nd, 2012 |
Last updated | Mar 22nd, 2012 - about 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1144596297 | NPPES |
Texas | MEDICAID | 50901 |
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