Chomchai, Joe S

Chomchai, Joe S is an individual health care provider with primary practice located at 4851 E Pickard St Ste 2700 , Mount Pleasant MI 48858-2042. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck. Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck is his primary health care specialty. Chomchai, Joe S can be contacted via phone (989) 772-6848.

Contact Information

Primary practice address
4851 E Pickard St Ste 2700 Mount Pleasant MI 48858-2042
Phone: (989) 772-6848
Fax: (989) 317-9263
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X 4301063374 Michigan
Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck 207YX0007X 4301063374 Michigan

Profile Details

NPI number 1568423986
LBN Legal business name Chomchai, Joe S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Apr 17th, 2020 - 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 1568423986 NPPES
Michigan Other 040016591 PALMETTO GBA
Michigan MEDICAID 4645845 PALMETTO GBA
Michigan Other 000370081 PALMETTO GBA
Michigan MEDICAID 4337981 PALMETTO GBA

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