Koller, Chad
Koller, Chad is an individual health care provider with primary practice located at 3848 Fau Boulvard Innovation Center 2, Suite 200, Boca Raton FL 33431. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Koller, Chad can be contacted via phone (561) 251-7263.Contact Information
Primary practice address
3848 Fau Boulvard Innovation Center 2, Suite 200
Boca Raton FL 33431
Phone: (561) 251-7263
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1891237376 |
|---|---|
| LBN Legal business name | Koller, Chad |
| Credentials | MS,CAP, ICADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2016 |
| Last updated | Nov 15th, 2016 - about 9 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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