Chessen, Bruce
Chessen, Bruce is an sole proprietor health care provider with primary practice located at 3355 Shoreline Dr , Camano Island WA 98282-8223. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Chessen, Bruce can be contacted via phone (406) 248-1126.Contact Information
Primary practice address
3355 Shoreline Dr
Camano Island WA 98282-8223
Phone: (406) 248-1126
Fax: (406) 245-0948
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | PY60894790 | Washington |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | MT147 | Montana |
Profile Details
| NPI number | 1598799645 |
|---|---|
| LBN Legal business name | Chessen, Bruce |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Jun 18th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598799645 | NPPES |
| Montana | MEDICAID | 0490425 |
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