Staats, Chuck

Staats, Chuck is an sole proprietor health care provider with primary practice located at 1808 Rose St , Wichita Falls TX 76301-4219. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Staats, Chuck can be contacted via phone (940) 723-4488.

Contact Information

Primary practice address
1808 Rose St Wichita Falls TX 76301-4219
Phone: (940) 723-4488
Fax: (940) 723-0446
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X S06187 Texas

Profile Details

NPI number 1629077995
LBN Legal business name Staats, Chuck
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2005
Last updated Oct 9th, 2012 - about 14 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 1629077995 NPPES
Texas MEDICAID 064152401
Texas Other 123721
Texas Other 00558M
Texas Other 125047
Texas Other 5241400

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