Chastain, Antonina Jean
Chastain, Antonina Jean is an sole proprietor health care provider with primary practice located at 5460 Mystic Oaks Dr , Imperial MO 63052-3433. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Chastain, Antonina Jean can be contacted via phone (573) 637-2499.Contact Information
Primary practice address
5460 Mystic Oaks Dr
Imperial MO 63052-3433
Phone: (573) 637-2499
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1619050291 |
|---|---|
| LBN Legal business name | Chastain, Antonina Jean |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 24th, 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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