Pens, Chad Michael

Pens, Chad Michael is an individual health care provider with primary practice located at 37 W Garden St Suite 103, Auburn NY 13021-2662. 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. Pens, Chad Michael can be contacted via phone (315) 253-3291.

Contact Information

Primary practice address
37 W Garden St Suite 103 Auburn NY 13021-2662
Phone: (315) 253-3291
Fax: (315) 258-8759
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 022423 New York

Profile Details

NPI number 1164410221
LBN Legal business name Pens, Chad Michael
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Jul 8th, 2007 - about 17 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 1164410221 NPPES
New York MEDICAID 02510016

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