Doctor Name: | DR. BRIAN CHASE |
NPI Number: | 1881847598 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | N/A |
Business Practice Address: | 350 Parrish St Canandaigua, NY - 144241731 |
Business Phone Number: | 5853966129 |
Business Fax Number: | 5853966603 |
Mailing Address: | 4535 Dressler Rd Nw, CANTON |
State: | OH |
Postal Code: | 447182545 |
Phone Number: | 3304926400 |
Fax Number: | 3302440514 |
NPI Enumeration Date: | 10/25/2008 |
NPI Last Update Date: | 08/25/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | N/A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |