Chapin, Theodore James

Chapin, Theodore James is an individual health care provider with primary practice located at 4940 N Weaverridge Blvd , Peoria IL 61615-8910. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Chapin, Theodore James can be contacted via phone (309) 689-0681.

Contact Information

Primary practice address
4940 N Weaverridge Blvd Peoria IL 61615-8910
Phone: (309) 689-0681
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X Illinois
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X Illinois

Profile Details

NPI number 1255393039
LBN Legal business name Chapin, Theodore James
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Jul 8th, 2007 - about 19 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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