Kittleson, Chad Matthew

Kittleson, Chad Matthew is an individual health care provider with primary practice located at 920 E 1St St Suite 301, Duluth MN 55805-2201. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Kittleson, Chad Matthew can be contacted via phone (218) 279-6279.

Contact Information

Primary practice address
920 E 1St St Suite 301 Duluth MN 55805-2201
Phone: (218) 279-6279
Fax: (218) 279-6280
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X

Profile Details

NPI number 1699021097
LBN Legal business name Kittleson, Chad Matthew
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2012
Last updated Jan 20th, 2021 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1699021097 NPPES
Minnesota Other C08224 MEDICARE ID/CLINIC NUMBER

Popular Providers