Longaker, Chad
Longaker, Chad is an sole proprietor health care provider with primary practice located at 1409 N Pittsburg St Ste C , Kennewick WA 99336-8213. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Longaker, Chad can be contacted via phone (509) 581-8875.Contact Information
Primary practice address
1409 N Pittsburg St Ste C
Kennewick WA 99336-8213
Phone: (509) 581-8875
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 60505492 | Washington |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 60645976 | Washington |
Profile Details
| NPI number | 1275917338 |
|---|---|
| LBN Legal business name | Longaker, Chad |
| Credentials | M.ED. LMHC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2015 |
| Last updated | May 4th, 2017 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275917338 | NPPES |
| Washington | MEDICAID | 2066794 |
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