Dieckhoner, Chase Robert

Dieckhoner, Chase Robert is an individual health care provider with primary practice located at 195 W Schrock Rd , Westerville OH 43081-2890. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Dieckhoner, Chase Robert can be contacted via phone (614) 355-7570.

Contact Information

Primary practice address
195 W Schrock Rd Westerville OH 43081-2890
Phone: (614) 355-7570
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1679187405
LBN Legal business name Dieckhoner, Chase Robert
Credentials B.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2020
Last updated Aug 31st, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679187405 NPPES
Ohio MEDICAID 1473276

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