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:
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Health care specialties

SpecialtyCodeLicense #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 4 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 1518931245 NPPES
Minnesota Other H400493386 MEDICARE PTAN

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