Lilly, Charles J

Lilly, Charles J is an sole proprietor health care provider with primary practice located at 2890 Health Parkway , Mount Pleasant MI 48858. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Lilly, Charles J can be contacted via phone (989) 772-3886.

Contact Information

Primary practice address
2890 Health Parkway Mount Pleasant MI 48858
Phone: (989) 772-3886
Fax: (989) 773-6267
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 4301048544 Michigan

Profile Details

NPI number 1043311848
LBN Legal business name Lilly, Charles J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2006
Last updated Sep 30th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043311848 NPPES
Michigan MEDICAID 1644906
Michigan Other 00370822

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