Hakes, Chris Corey

Hakes, Chris Corey is an sole proprietor health care provider with primary practice located at 50 N Main St , Tooele UT 84074-2139. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Hakes, Chris Corey can be contacted via phone (801) 414-3252.

Contact Information

Primary practice address
50 N Main St Tooele UT 84074-2139
Fax: (801) 967-2127
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 369489-3501 Utah

Profile Details

NPI number 1194785378
LBN Legal business name Hakes, Chris Corey
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2006
Last updated Oct 16th, 2019 - about 6 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 1194785378 NPPES
Utah Other U000086168 MEDICARE PTAN

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