Chester, Lori R

Chester, Lori R is an sole proprietor health care provider with primary practice located at 18101 Oakwood Blvd , Dearborn MI 48124-4089. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Chester, Lori R can be contacted via phone (313) 982-5440.

Contact Information

Primary practice address
18101 Oakwood Blvd Dearborn MI 48124-4089
Fax: (313) 982-5445
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 4704217406 Michigan

Profile Details

NPI number 1699006585
LBN Legal business name Chester, Lori R
Credentials ACNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2010
Last updated Nov 12th, 2018 - about 6 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 1699006585 NPPES
Michigan Other 12174138 CAQH

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