Chesnut, Shaun

Chesnut, Shaun is an individual health care provider with primary practice located at 365 Whiskeyhill Rd. , Watsonville CA 95076. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Chesnut, Shaun can be contacted via phone (831) 724-9333.

Contact Information

Primary practice address
365 Whiskeyhill Rd. Watsonville CA 95076
Phone: (831) 724-9333
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1467710509
LBN Legal business name Chesnut, Shaun
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2012
Last updated Feb 9th, 2017 - about 7 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 1467710509 NPPES
California Other ZZZ92069Z SANTA CRUZ MEDICAL GROUP PTAN#

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