Chesebrough, Patrick J
Chesebrough, Patrick J is an individual health care provider with primary practice located at 4618 E State Blvd Ste 300 , Fort Wayne IN 46815-6966. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Chesebrough, Patrick J can be contacted via phone (260) 373-0213.Contact Information
Primary practice address
4618 E State Blvd Ste 300
Fort Wayne IN 46815-6966
Phone: (260) 373-0213
Fax: (260) 373-0218
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 87001654A | Indiana |
Profile Details
| NPI number | 1265001457 |
|---|---|
| LBN Legal business name | Chesebrough, Patrick J |
| Credentials | LCAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2021 |
| Last updated | Jun 22nd, 2021 - about 4 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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