Chase, Judith Ann
Chase, Judith Ann is an individual health care provider with primary practice located at 4 Commerce Lane , Canton NY 13617. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Chase, Judith Ann can be contacted via phone (315) 386-8191.Contact Information
Primary practice address
4 Commerce Lane
Canton NY 13617
Phone: (315) 386-8191
Fax: (315) 386-1410
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 014029 | New York |
Profile Details
| NPI number | 1568785228 |
|---|---|
| LBN Legal business name | Chase, Judith Ann |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 10th, 2010 |
| Last updated | Mar 10th, 2010 - about 15 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 | 1568785228 | NPPES |
| New York | MEDICAID | 01995615 |
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