Chodoroff, Gary

Chodoroff, Gary is an individual health care provider with primary practice located at 30100 Telegraph Rd Suite 177, Bingham Farms MI 48025-4560. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Chodoroff, Gary can be contacted via phone (248) 647-1470.

Contact Information

Primary practice address
30100 Telegraph Rd Suite 177 Bingham Farms MI 48025-4560
Fax: (248) 647-1472
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X GC046805 Michigan

Profile Details

NPI number 1851318752
LBN Legal business name Chodoroff, Gary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2006
Last updated Oct 13th, 2011 - about 13 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 1851318752 NPPES
Michigan Other 49558 HAP THRU PROVIDENCE
Michigan Other 0633719 HAP THRU PROVIDENCE
Michigan Other 101420 HAP THRU PROVIDENCE
Michigan Other 4052753 HAP THRU PROVIDENCE
Michigan Other 1106337 HAP THRU PROVIDENCE
Michigan Other 250F334790 HAP THRU PROVIDENCE
Michigan Other 101420 HAP THRU PROVIDENCE
Michigan Other C3352 HAP THRU PROVIDENCE

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