Evenson, Chase Gardner

Evenson, Chase Gardner is an individual health care provider with primary practice located at 475 W 260 N , Orem UT 84057-1970. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Case Manager/Care Coordinator, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Evenson, Chase Gardner can be contacted via phone (801) 221-9930.

Contact Information

Primary practice address
475 W 260 N Orem UT 84057-1970
Phone: (801) 221-9930
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1659920536
LBN Legal business name Evenson, Chase Gardner
Credentials SSW
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2019
Last updated Sep 15th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1659920536 NPPES
Utah MEDICAID 1396085718

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