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:
Health care specialties
Specialty | Code | License # | 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 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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