Chalela, Ricardo

Chalela, Ricardo is an individual health care provider with primary practice located at 36561 Harper Ave , Clinton Twp MI 48035-2012. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Chalela, Ricardo can be contacted via phone (586) 791-0620.

Contact Information

Primary practice address
36561 Harper Ave Clinton Twp MI 48035-2012
Phone: (586) 791-0620
Fax: (586) 791-5565
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 4301032010 Michigan

Profile Details

NPI number 1497720809
LBN Legal business name Chalela, Ricardo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2006
Last updated Jul 9th, 2007 - about 17 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 1497720809 NPPES
Michigan Other 4301032010 LICENSE
Michigan MEDICAID 4812694 LICENSE

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