Chase Bruton
Assistive Technology Practitioner
1629 Wyoming Ave
San Angelo
, Texas 76904-7152
Chase Bruton
Assistive Technology Practitioner
1629 Wyoming Ave
San Angelo
, Texas 76904-7152
(325) 212-0170
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About
Features
Specialties
- Assistive Technology Practitioner
Languages spoken
- English
Location
First Address
- Chase Bruton
- 1629 Wyoming Ave
- San Angelo, TX
- Zip : 76904-7152
- Phone : (325) 212-0170
Second Address
- Chase Bruton
- 1629 Wyoming Ave
- San Angelo, TX
- Zip : 76904-7152
- Phone : (325) 212-0170
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225CA2400X | Assistive Technology Practitioner | ATP50901 | TX |
National Provider Identifier
| NPI | 1144596297 |
|---|---|
| Provider Name | Chase Bruton |
| First Address | San Angelo, TX 76904-7152 |
| Second Address | San Angelo, TX 76904-7152 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/03/2012 |
| Last Update Date | 22/03/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 50901 | (05) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.