Chenoweth, Steven T

Chenoweth, Steven T is an individual health care provider with primary practice located at 308 1/2 Centre St Ofc 2 , Fernandina Beach FL 32034-4241. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Chenoweth, Steven T can be contacted via phone (904) 432-7558.

Contact Information

Primary practice address
308 1/2 Centre St Ofc 2 Fernandina Beach FL 32034-4241
Phone: (904) 432-7558
Fax: (866) 858-7371
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT003663 Georgia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT 13398 Florida

Profile Details

NPI number 1760488258
LBN Legal business name Chenoweth, Steven T
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Jul 21st, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1760488258 NPPES
Georgia MEDICAID 000786508A
Georgia MEDICAID 000786508G
Georgia MEDICAID 000786508F
Georgia MEDICAID 887934600
Georgia MEDICAID 000786508L
Georgia MEDICAID 000786508K
Georgia MEDICAID 000786508M
Georgia Other P00319893
Georgia MEDICAID 000786508H
Georgia Other P00367613

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