Shade, Chadwick J
Shade, Chadwick J is an individual health care provider with primary practice located at 5955 Zeamer Avenue 3Rd Mdg, Elmendorf Afb AK 99506. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Shade, Chadwick J can be contacted via phone (907) 580-2181.Contact Information
Primary practice address
5955 Zeamer Avenue 3Rd Mdg
Elmendorf Afb AK 99506
Phone: (907) 580-2181
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY0091 | Missouri |
Profile Details
| NPI number | 1255658860 |
|---|---|
| LBN Legal business name | Shade, Chadwick J |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 23rd, 2010 |
| Last updated | Apr 23rd, 2010 - about 16 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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