Jimmie Charles Chase
Addiction Counselor (Substance Use Disorder)
622 Se Frank Phillips Blvd
Bartlesville
, Oklahoma 74003-3917
Jimmie Charles Chase
Addiction Counselor (Substance Use Disorder)
622 Se Frank Phillips Blvd
Bartlesville
, Oklahoma 74003-3917
(620) 346-2356
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About
Features
Specialties
- Addiction Counselor (Substance Use Disorder)
Languages spoken
- English
Location
First Address
- Jimmie Charles Chase
- 205 S Santa Fe Elgin
- Sedan, KS
- Zip : 67361-8526
- Phone : (620) 346-2356
Second Address
- Jimmie Charles Chase
- 622 Se Frank Phillips Blvd
- Bartlesville, OK
- Zip : 74003-3917
- Fax : (918) 336-8710
- Phone : (918) 336-4646
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 166 | OK |
National Provider Identifier
| NPI | 1003025297 |
|---|---|
| Provider Name | Jimmie Charles Chase |
| First Address | Sedan, KS 67361-8526 |
| Second Address | Bartlesville, OK 74003-3917 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/05/2007 |
| Last Update Date | 08/07/2007 |
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.