Chantry, Marlita

Chantry, Marlita is an individual health care provider with primary practice located at 217 E 2Nd Ave , Colville WA 99114-2903. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Chantry, Marlita can be contacted via phone (509) 684-5027.

Contact Information

Primary practice address
217 E 2Nd Ave Colville WA 99114-2903
Phone: (509) 684-5027
Fax: (509) 684-6133
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT00007570 Washington

Profile Details

NPI number 1124092184
LBN Legal business name Chantry, Marlita
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Jul 8th, 2007 - about 17 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 1124092184 NPPES
Washington MEDICAID 8335168
Washington Other 0208712
Washington Other 159194

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