Ith, Chad Viriya

Ith, Chad Viriya is an individual health care provider with primary practice located at 710 Lawrence Expy Dept 148, Santa Clara CA 95051-5173. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Ith, Chad Viriya can be contacted via phone (408) 851-1850.

Contact Information

Primary practice address
710 Lawrence Expy Dept 148 Santa Clara CA 95051-5173
Phone: (408) 851-1850
Fax: (408) 851-1871
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA18527 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 001611 Connecticut

Profile Details

NPI number 1932170578
LBN Legal business name Ith, Chad Viriya
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Jan 11th, 2022 - about 2 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 1932170578 NPPES
Connecticut Other 001611 PA LICENSE
Connecticut MEDICAID 004236007 PA LICENSE
Connecticut Other 37374 PA LICENSE

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