Chartrand, Kevin Michael

Chartrand, Kevin Michael is an sole proprietor health care provider with primary practice located at 13221 Ravenna Rd Suite 9, Chardon OH 44024-9047. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Chartrand, Kevin Michael can be contacted via phone (440) 286-7420.

Contact Information

Primary practice address
13221 Ravenna Rd Suite 9 Chardon OH 44024-9047
Phone: (440) 286-7420
Fax: (440) 286-6354
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35-05-5764 Ohio

Profile Details

NPI number 1124011796
LBN Legal business name Chartrand, Kevin Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2005
Last updated Sep 24th, 2008 - 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 1124011796 NPPES
Ohio MEDICAID 0678495

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