Upham, David

Upham, David is an individual health care provider with primary practice located at 1501 W Chisholm St , Alpena MI 49707-1401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Upham, David can be contacted via phone (800) 968-6866.

Contact Information

Primary practice address
1501 W Chisholm St Alpena MI 49707-1401
Fax: (616) 532-7230
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 4301041456 Michigan

Profile Details

NPI number 1336148493
LBN Legal business name Upham, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336148493 NPPES
Michigan MEDICAID 3446687

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