Chantelois, Allen Edward
Chantelois, Allen Edward is an individual health care provider with primary practice located at 325 N Commercial St , Neenah WI 54956-2665. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Chantelois, Allen Edward can be contacted via phone (920) 722-1583.Contact Information
Primary practice address
325 N Commercial St
Neenah WI 54956-2665
Phone: (920) 722-1583
Fax: (920) 722-7454
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 35128 | Wisconsin |
Profile Details
| NPI number | 1477539450 |
|---|---|
| LBN Legal business name | Chantelois, Allen Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 21st, 2005 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477539450 | NPPES |
| Wisconsin | MEDICAID | 32046700 |
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