Davis, Chad Russell

Davis, Chad Russell is an individual health care provider with primary practice located at 11102 Lindbergh Business Ct , Saint Louis MO 63123-7810. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Davis, Chad Russell can be contacted via phone (314) 206-3400.

Contact Information

Primary practice address
11102 Lindbergh Business Ct Saint Louis MO 63123-7810
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1891207635
LBN Legal business name Davis, Chad Russell
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2017
Last updated Jul 21st, 2022 - about 3 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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