Yamamoto, Chase Kiyoshi

Yamamoto, Chase Kiyoshi is an individual health care provider with primary practice located at 6795 N Mineral Dr , Coeur D Alene ID 83815-8700. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Yamamoto, Chase Kiyoshi can be contacted via phone (208) 769-4222.

Contact Information

Primary practice address
6795 N Mineral Dr Coeur D Alene ID 83815-8700
Phone: (208) 769-4222
Fax: (844) 803-7399
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1275141236
LBN Legal business name Yamamoto, Chase Kiyoshi
Credentials CBRS
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2020
Last updated Oct 5th, 2020 - about 6 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 1275141236 NPPES
Idaho Other AD005757R DRIVERS LICENSE

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