Charboneau, Michael Joseph

Charboneau, Michael Joseph is an individual health care provider with primary practice located at 730 N Macomb St Suite 329, Monroe MI 48162-2900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Charboneau, Michael Joseph can be contacted via phone (734) 240-5860.

Contact Information

Primary practice address
730 N Macomb St Suite 329 Monroe MI 48162-2900
Phone: (734) 240-5860
Fax: (734) 240-5899
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 5101010247 Michigan

Profile Details

NPI number 1619986213
LBN Legal business name Charboneau, Michael Joseph
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Nov 3rd, 2023 - about last year

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 1619986213 NPPES
Michigan Other G22695 HAP
Michigan Other 11684 HAP
Michigan Other 0255810524 HAP
Michigan Other 020046979 HAP
Michigan MEDICAID 4218443 HAP
Michigan Other 0255810524 HAP

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