Wansom, Chate
Wansom, Chate is an sole proprietor health care provider with primary practice located at 1492 N Monroe St , Monroe MI 48162-4210. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Wansom, Chate can be contacted via phone (734) 242-3060.Contact Information
Primary practice address
1492 N Monroe St
Monroe MI 48162-4210
Phone: (734) 242-3060
Fax: (734) 242-3062
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 4301038906 | Michigan |
Profile Details
| NPI number | 1780785931 |
|---|---|
| LBN Legal business name | Wansom, Chate |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 26th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780785931 | NPPES |
| Michigan | MEDICAID | 1395936 |
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