Hines, Chad

Hines, Chad is an individual health care provider with primary practice located at 815 S Pearl St , Tacoma WA 98465-2117. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist, which is considered as his primary health care specialty. Hines, Chad can be contacted via phone (253) 396-5936.

Contact Information

Primary practice address
815 S Pearl St Tacoma WA 98465-2117
Fax:
Website:

Health care specialties

Profile Details

NPI number 1225504772
LBN Legal business name Hines, Chad
Credentials CTRS/R
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2018
Last updated Oct 22nd, 2018 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1225504772 NPPES
Washington MEDICAID 60290676

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