Chavez, Theresa
Chavez, Theresa is an sole proprietor health care provider with primary practice located at 7218 W Raymond St , Phoenix AZ 85043-7626. She recently has only one registered license in Respite Care Facility / Respite Care, Mental Illness, Child, which is considered as her primary health care specialty. Chavez, Theresa can be contacted via phone (623) 478-0572.Contact Information
Primary practice address
7218 W Raymond St
Phoenix AZ 85043-7626
Phone: (623) 478-0572
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respite Care Facility / Respite Care, Mental Illness, Child | 385HR2055X | 3971 | Arizona |
Profile Details
| NPI number | 1225106982 |
|---|---|
| LBN Legal business name | Chavez, Theresa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 1st, 2006 |
| Last updated | Feb 25th, 2011 - about 14 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 | 1225106982 | NPPES |
| Arizona | Other | 992778 | AHCCCS ID NUMBER |
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