Woodruff, Chad

Woodruff, Chad is an individual health care provider with primary practice located at 934 S Main St , Layton UT 84041-7135. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Woodruff, Chad can be contacted via phone (801) 773-7060.

Contact Information

Primary practice address
934 S Main St Layton UT 84041-7135
Phone: (801) 773-7060
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 5422003-3501 Utah

Profile Details

NPI number 1962769943
LBN Legal business name Woodruff, Chad
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2012
Last updated Nov 14th, 2019 - about 7 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 1962769943 NPPES
Utah Other 260022408 RAILROAD MEDICARE
Utah MEDICAID 876000308007 RAILROAD MEDICARE

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