Chatterley, Lucan Watt

Chatterley, Lucan Watt is an individual health care provider with primary practice located at 4600 Breton Rd Se Ste 102 , Kentwood MI 49508-5220. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Chatterley, Lucan Watt can be contacted via phone (616) 391-9700.

Contact Information

Primary practice address
4600 Breton Rd Se Ste 102 Kentwood MI 49508-5220
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X 5101022000 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101022000 Michigan

Profile Details

NPI number 1053793489
LBN Legal business name Chatterley, Lucan Watt
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2015
Last updated Mar 21st, 2023 - about 2 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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