Schaller, Adam Blake
Schaller, Adam Blake is an sole proprietor health care provider with primary practice located at 55 Independence Cir Ste 104 , Chico CA 95973-4909. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Schaller, Adam Blake can be contacted via phone (530) 518-0754.Contact Information
Primary practice address
55 Independence Cir Ste 104
Chico CA 95973-4909
Phone: (530) 518-0754
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 78825 | California |
Profile Details
| NPI number | 1972664647 |
|---|---|
| LBN Legal business name | Schaller, Adam Blake |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 13th, 2006 |
| Last updated | Feb 18th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972664647 | NPPES |
| California | MEDICAID | CA336682 |
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