Maddock, Chase

Maddock, Chase is an sole proprietor health care provider with primary practice located at 775 Pole Line Rd W Ste 103 , Twin Falls ID 83301-5819. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Maddock, Chase can be contacted via phone (208) 814-8375.

Contact Information

Primary practice address
775 Pole Line Rd W Ste 103 Twin Falls ID 83301-5819
Phone: (208) 814-8375
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-2346 Idaho

Profile Details

NPI number 1649670522
LBN Legal business name Maddock, Chase
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 28th, 2014
Last updated Jan 24th, 2023 - about last year

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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