Mediate, Chad David

Mediate, Chad David is an individual health care provider with primary practice located at 4130 La Jolla Village Dr Suite 306, La Jolla CA 92037-9121. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Mediate, Chad David can be contacted via phone (858) 455-6460.

Contact Information

Primary practice address
4130 La Jolla Village Dr Suite 306 La Jolla CA 92037-9121
Phone: (858) 455-6460
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 37003 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 012196 Ohio

Profile Details

NPI number 1265702807
LBN Legal business name Mediate, Chad David
Credentials D.P.T.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2012
Last updated Jan 12th, 2012 - about 12 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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