Chamblee, Michael A

Chamblee, Michael A is an individual health care provider with primary practice located at 1505 Daphne Ave , Daphne AL 36526-4298. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Chamblee, Michael A can be contacted via phone (251) 625-2663.

Contact Information

Primary practice address
1505 Daphne Ave Daphne AL 36526-4298
Fax: (251) 625-3198
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 21661 Mississippi
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 28515 Alabama

Profile Details

NPI number 1578772331
LBN Legal business name Chamblee, Michael A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2007
Last updated Jul 21st, 2022 - about 3 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 1578772331 NPPES
Mississippi MEDICAID 03009719

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