Chudler, Loren

Chudler, Loren is an individual health care provider with primary practice located at 2000 Town Center Suite 650, Southfield MI 48075. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Chudler, Loren can be contacted via phone (248) 352-5851.

Contact Information

Primary practice address
2000 Town Center Suite 650 Southfield MI 48075
Phone: (248) 352-5851
Fax: (248) 352-5211
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X LC012791 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101012791 Michigan

Profile Details

NPI number 1164477816
LBN Legal business name Chudler, Loren
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Apr 24th, 2014 - about 10 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 1164477816 NPPES
Michigan Other LC012791 BCBS
Michigan MEDICAID 114351390 BCBS

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