Chism Nicholas, Edna

Chism Nicholas, Edna is an sole proprietor health care provider with primary practice located at 3309 Winthrop Ave 90, Fort Worth TX 76116-5614. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Chism Nicholas, Edna can be contacted via phone (214) 886-4872.

Contact Information

Primary practice address
3309 Winthrop Ave 90 Fort Worth TX 76116-5614
Phone: (214) 886-4872
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 12258 Texas
Behavioral Health & Social Service Providers / Clinical 1041C0700X 55023 Texas

Profile Details

NPI number 1073933669
LBN Legal business name Chism Nicholas, Edna
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 22nd, 2014
Last updated Jun 30th, 2014 - about 11 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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