Chudler, Angel
Chudler, Angel is an individual health care provider with primary practice located at 18101 Oakwood Blvd , Dearborn MI 48124-4089. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as her primary health care specialty. Chudler, Angel can be contacted via phone (313) 953-7000.Contact Information
Primary practice address
18101 Oakwood Blvd
Dearborn MI 48124-4089
Phone: (313) 953-7000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 5101014519 | Michigan |
Profile Details
NPI number | 1609854280 |
---|---|
LBN Legal business name | Chudler, Angel |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 4th, 2006 |
Last updated | Jul 9th, 2007 - about 17 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 | 1609854280 | NPPES |
Michigan | MEDICAID | 11-4615004 | |
Michigan | MEDICAID | 11-4615013 | |
Michigan | MEDICAID | 11-4615022 | |
Michigan | Other | 0158211355 | |
Michigan | MEDICAID | 11-4615031 | |
Michigan | MEDICAID | 11-4614992 |
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