Van Gorder, Chad

Van Gorder, Chad is an sole proprietor health care provider with primary practice located at 5 Vanderberg Dr , Fairport NY 14450-8427. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Van Gorder, Chad can be contacted via phone (315) 783-7893.

Contact Information

Primary practice address
5 Vanderberg Dr Fairport NY 14450-8427
Phone: (315) 783-7893
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 106332-01 New York

Profile Details

NPI number 1184323735
LBN Legal business name Van Gorder, Chad
Credentials LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 2nd, 2023
Last updated Mar 2nd, 2023 - about 2 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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