Chace, Tatjana A

Chace, Tatjana A is an individual health care provider with primary practice located at 225 E Cloud Ave , Andover KS 67002-8824. She recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as her primary health care specialty. Chace, Tatjana A can be contacted via phone (316) 706-2772.

Contact Information

Primary practice address
225 E Cloud Ave Andover KS 67002-8824
Phone: (316) 706-2772
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X 14-02847 Kansas

Profile Details

NPI number 1669047627
LBN Legal business name Chace, Tatjana A
Credentials CPHT
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2021
Last updated May 23rd, 2021 - about 3 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 1669047627 NPPES
Kansas Other 14-02847 KANSAS STATE BOARD OF PHARMACY

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