Everson, Chad Edward

Everson, Chad Edward is an sole proprietor health care provider with primary practice located at 575 S Cleveland Massillon Rd Therapy Dept., Fairlawn OH 44333-3019. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Everson, Chad Edward can be contacted via phone (330) 666-5866.

Contact Information

Primary practice address
575 S Cleveland Massillon Rd Therapy Dept. Fairlawn OH 44333-3019
Phone: (330) 666-5866
Fax: (330) 666-3215
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 04933 Ohio

Profile Details

NPI number 1578761508
LBN Legal business name Everson, Chad Edward
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2007
Last updated Jul 11th, 2007 - about 18 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 1578761508 NPPES
Ohio MEDICAID 0139424

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