Dr. Blaze Charles Chatham
Physical Therapist Physical Therapist - Orthopedic
141 Main St
Milford
, Massachusetts 01757-2613
Dr. Blaze Charles Chatham
Physical Therapist Physical Therapist - Orthopedic
141 Main St
Milford
, Massachusetts 01757-2613
(508) 422-0101
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About
Features
Specialties
- Physical Therapist
- Physical Therapist - Orthopedic
Languages spoken
- English
Location
First Address
- Dr. Blaze Charles Chatham
- 141 Main St
- Milford, MA
- Zip : 01757-2613
- Phone : (508) 422-0101
Second Address
- Dr. Blaze Charles Chatham
- 141 Main St
- Milford, MA
- Zip : 01757-2613
- Phone : (508) 422-0101
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Is Dr. Blaze Charles Chatham a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 225100000X | Physical Therapist | ||
| Y | 2251X0800X | Physical Therapist - Orthopedic | 20604 | MA |
National Provider Identifier
| NPI | 1043642028 |
|---|---|
| Provider Name | Dr. Blaze Charles Chatham |
| First Address | Milford, MA 01757-2613 |
| Second Address | Milford, MA 01757-2613 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/08/2013 |
| Last Update Date | 12/08/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 890178155 | THE EMPIRE PLAN (01) | NY |
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.