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Contact Information

MICHAEL S CHASE
15 WOODSIDE CIR
WOODBURY, CT06798-1528
 Phone: 860-966-4744
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for MICHAEL S CHASE · (Male)

NPI # 1053196576
Status Active
Credentials
Entity Individual
Enumeration date 08/31/2023
Last updated 08/31/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 12299
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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