Park, Chankee

Park, Chankee is an sole proprietor health care provider with primary practice located at 16570 19 Mile Rd , Clinton Township MI 48038-1106. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Park, Chankee can be contacted via phone (586) 263-7660.

Contact Information

Primary practice address
16570 19 Mile Rd Clinton Township MI 48038-1106
Fax: (586) 286-4727
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 037049 Michigan

Profile Details

NPI number 1518995869
LBN Legal business name Park, Chankee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2006
Last updated Feb 28th, 2012 - about 12 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 1518995869 NPPES
Michigan MEDICAID 4590264

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