Romanoff, Chad

Romanoff, Chad is an individual health care provider with primary practice located at 930 W Southern Ave Ste 101, Mesa AZ 85210-4938. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as his primary health care specialty. Romanoff, Chad can be contacted via phone (480) 835-0857.

Contact Information

Primary practice address
930 W Southern Ave Ste 101 Mesa AZ 85210-4938
Phone: (480) 835-0857
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 2504 Arizona

Profile Details

NPI number 1104963412
LBN Legal business name Romanoff, Chad
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Jul 8th, 2007 - about 19 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 1104963412 NPPES
Arizona MEDICAID 556821

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