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Contact Information

CHAD EVENTIDE, MHS, PA-C
50 BRANSCOMB RD
LAYTONVILLE, CA95454
 Phone: 707-984-6131
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CHAD EVENTIDE · (Male)

NPI # 1043589419
Status Active
Credentials MHS, PA-C
Entity Individual
Enumeration date 12/14/2011
Last updated 12/14/2011 - About 14 years ago
Sole proprietor 1 Yes
Identifiers Not Available
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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