Crandall, Chad

Crandall, Chad is an individual health care provider with primary practice located at 43 Hatch Dr Ste 210 , Caribou ME 04736. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Crandall, Chad can be contacted via phone (207) 498-6431.

Contact Information

Primary practice address
43 Hatch Dr Ste 210 Caribou ME 04736
Phone: (207) 498-6431
Fax: (207) 492-3181
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1710366513
LBN Legal business name Crandall, Chad
Credentials MHRT-CSP
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2015
Last updated Jun 7th, 2018 - about 8 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 1710366513 NPPES
Maine MEDICAID 1710366513

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