Individual
MR. CHRIS KEVIN CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
204 WATTS STREET, HASKINS, OH 43525-0000
(419) 707-0244
Mailing address
204 WATTS STREET, HASKINS, OH 43525-0000
(419) 707-0244
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN336960
OH
Other
Enumeration date
08/16/2011
Last updated
08/16/2011
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