Hetherwick, Chad

Hetherwick, Chad is an individual health care provider with primary practice located at 8508 N Prairie Vw , Prescott Valley AZ 86315-9089. He recently has 4 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Pediatric, Dietary & Nutritional Service Providers / Nutrition, Renal, Dietary & Nutritional Service Providers / Nutrition, Metabolic, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is his primary health care specialty. Hetherwick, Chad can be contacted via phone (928) 772-8652.

Contact Information

Primary practice address
8508 N Prairie Vw Prescott Valley AZ 86315-9089
Phone: (928) 772-8652
Fax: (928) 772-8078
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X
Dietary & Nutritional Service Providers / Nutrition, Renal 133VN1005X
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 960912

Profile Details

NPI number 1104023969
LBN Legal business name Hetherwick, Chad
Credentials MS, RDN
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2007
Last updated Nov 3rd, 2020 - about 6 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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