Chillag, Kipp L
Chillag, Kipp L is an individual health care provider with primary practice located at 1675 Leahy St Ste 401A , Muskegon MI 49442-5547. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Chillag, Kipp L can be contacted via phone (231) 672-4243.Contact Information
Primary practice address
1675 Leahy St Ste 401A
Muskegon MI 49442-5547
Phone: (231) 672-4243
Fax: (231) 727-4214
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities | 2080P0008X | 51010114017 | Michigan |
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | 5101014017 | Michigan |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 5101014017 | Michigan |
Profile Details
| NPI number | 1518931245 |
|---|---|
| LBN Legal business name | Chillag, Kipp L |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2006 |
| Last updated | Sep 13th, 2021 - about 3 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 | 1518931245 | NPPES |
| Minnesota | Other | H400493386 | MEDICARE PTAN |
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