Chae, Won B

Chae, Won B is an sole proprietor health care provider with primary practice located at 29829 Telegraph Rd Ste L103, Southfield MI 48034-1376. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Nuclear Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Chae, Won B can be contacted via phone (248) 352-9525.

Contact Information

Primary practice address
29829 Telegraph Rd Ste L103 Southfield MI 48034-1376
Fax: (248) 357-2959
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X WC058039 Michigan
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X WC058039 Michigan
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X WC058039 Michigan

Profile Details

NPI number 1831192640
LBN Legal business name Chae, Won B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2005
Last updated Jan 27th, 2010 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831192640 NPPES
Michigan MEDICAID 3349772
Michigan Other 132484
Michigan Other 18674
Michigan Other 5101
Michigan Other 52972
Michigan Other 1770819864
Michigan Other CD9258
Michigan MEDICAID 4997089
Michigan Other 700F372090
Michigan Other RA630034

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