Chynoweth, Thomas William

Chynoweth, Thomas William is an individual health care provider with primary practice located at 3831 W Charleston Blvd , Las Vegas NV 89102-1859. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Chynoweth, Thomas William can be contacted via phone (702) 876-1733.

Contact Information

Primary practice address
3831 W Charleston Blvd Las Vegas NV 89102-1859
Phone: (702) 876-1733
Fax: (702) 878-2018
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 0426 Nevada

Profile Details

NPI number 1356333009
LBN Legal business name Chynoweth, Thomas William
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Apr 10th, 2008 - about 18 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 1356333009 NPPES
Nevada MEDICAID 100503518
Nevada Other P00169699

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