Chodirker, David
Chodirker, David is an sole proprietor health care provider with primary practice located at 173 Worcester St , Wellesley MA 02481-5521. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Chodirker, David can be contacted via phone (781) 235-7900.Contact Information
Primary practice address
173 Worcester St
Wellesley MA 02481-5521
Phone: (781) 235-7900
Fax: (781) 237-9930
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 74617 | Massachusetts |
Profile Details
| NPI number | 1972504504 |
|---|---|
| LBN Legal business name | Chodirker, David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 4th, 2005 |
| Last updated | Jun 16th, 2008 - about 16 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 | 1972504504 | NPPES |
| Other | 043196618 | GREAT WEST | |
| Other | 4199853 | GREAT WEST | |
| Other | 0103579 | GREAT WEST | |
| Other | 043196618 | GREAT WEST | |
| Other | 043196618 | GREAT WEST | |
| Other | 34586 | GREAT WEST | |
| Other | J11610 | GREAT WEST | |
| Other | 043196618 | GREAT WEST | |
| MEDICAID | 3084884 | GREAT WEST | |
| Other | 043196618 | GREAT WEST | |
| Other | 0452115 | GREAT WEST | |
| Other | 074617 | GREAT WEST | |
| Other | 71194 | GREAT WEST | |
| Other | 043196618 | GREAT WEST |
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