Chase, Theodore J

Chase, Theodore J is an individual health care provider with primary practice located at 2600 Wilson Street , Miles City MT 59301. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Chase, Theodore J can be contacted via phone (406) 233-2600.

Contact Information

Primary practice address
2600 Wilson Street Miles City MT 59301
Phone: (406) 233-2600
Fax: (406) 233-2611
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA-577 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 469 Montana

Profile Details

NPI number 1013987312
LBN Legal business name Chase, Theodore J
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Nov 6th, 2007 - about 19 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 1013987312 NPPES
Montana MEDICAID 9970976

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