Bothuell, Chantale Esther
Bothuell, Chantale Esther is an sole proprietor health care provider with primary practice located at 2424 Fordham St , Keego Harbor MI 48320-1412. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Bothuell, Chantale Esther can be contacted via phone (313) 384-7300.Contact Information
Primary practice address
2424 Fordham St
Keego Harbor MI 48320-1412
Phone: (313) 384-7300
Fax: (248) 747-4014
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 5901002140 | Michigan |
Profile Details
| NPI number | 1457566341 |
|---|---|
| LBN Legal business name | Bothuell, Chantale Esther |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 14th, 2007 |
| Last updated | Mar 9th, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457566341 | NPPES |
| Michigan | MEDICAID | 2265017 |
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