Holmes, Chad Eric

Holmes, Chad Eric is an individual health care provider with primary practice located at 1616 S. Gold St. #4 , Centralia WA 98531-0001. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Holmes, Chad Eric can be contacted via phone (360) 807-4929.

Contact Information

Primary practice address
1616 S. Gold St. #4 Centralia WA 98531-0001
Phone: (360) 807-4929
Fax: (360) 807-4160
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CO60709269 Washington
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CP60926712 Washington

Profile Details

NPI number 1831629476
LBN Legal business name Holmes, Chad Eric
Credentials CO60709269
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2017
Last updated Oct 30th, 2020 - 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 1831629476 NPPES
Washington MEDICAID 2133639
Washington MEDICAID 1991983

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