Evenson, Chase Gardner
Evenson, Chase Gardner is an individual health care provider with primary practice located at 475 W 260 N , Orem UT 84057-1970. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Case Manager/Care Coordinator, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Evenson, Chase Gardner can be contacted via phone (801) 221-9930.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | ||
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | ||
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1659920536 |
|---|---|
| LBN Legal business name | Evenson, Chase Gardner |
| Credentials | SSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 4th, 2019 |
| Last updated | Sep 15th, 2023 - about last year |
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 | 1659920536 | NPPES |
| Utah | MEDICAID | 1396085718 |
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