Madiata, Chantal

Madiata, Chantal is an sole proprietor health care provider with primary practice located at 3641 W Bellewood Pl , Tucson AZ 85741-5407. She recently has 2 registered licenses in different health care specialties including Respite Care Facility / Respite Care, Other Service Providers / Contractor. Respite Care Facility / Respite Care is her primary health care specialty. Madiata, Chantal can be contacted via phone (520) 351-9952.

Contact Information

Primary practice address
3641 W Bellewood Pl Tucson AZ 85741-5407
Phone: (520) 351-9952
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respite Care Facility / Respite Care 385H00000X BH5270 Arizona
Other Service Providers / Contractor 171W00000X BH4643 Arizona

Profile Details

NPI number 1679954549
LBN Legal business name Madiata, Chantal
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2015
Last updated Sep 4th, 2020 - about 5 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 1679954549 NPPES
Arizona Other BH5270 AZ DEPT OF HEALTH SERVICES

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