Colton, Chaz Derrick

Colton, Chaz Derrick is an individual health care provider with primary practice located at 1034 N 500 W , Provo UT 84604-3380. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Colton, Chaz Derrick can be contacted via phone (801) 357-2130.

Contact Information

Primary practice address
1034 N 500 W Provo UT 84604-3380
Phone: (801) 357-2130
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 8066563-4405 Utah

Profile Details

NPI number 1518484005
LBN Legal business name Colton, Chaz Derrick
Credentials DNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2017
Last updated Aug 24th, 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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