Guthrie, Chad Michael

Guthrie, Chad Michael is an individual health care provider with primary practice located at 2355 Vidina Dr , Viera FL 32940-7698. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics, which is considered as his primary health care specialty. Guthrie, Chad Michael can be contacted via phone (321) 775-6800.

Contact Information

Primary practice address
2355 Vidina Dr Viera FL 32940-7698
Phone: (321) 775-6800
Fax: (321) 775-4888
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics 2251G0304X PT23158 Florida

Profile Details

NPI number 1528196722
LBN Legal business name Guthrie, Chad Michael
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2007
Last updated Dec 24th, 2019 - about 5 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 1528196722 NPPES
Florida MEDICAID 884156046

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