Chadderton, Colleen

Chadderton, Colleen is an individual health care provider with primary practice located at 760 W Franklin St , Jackson MI 49201-2048. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Chadderton, Colleen can be contacted via phone (517) 780-9260.

Contact Information

Primary practice address
760 W Franklin St Jackson MI 49201-2048
Phone: (517) 780-9260
Fax: (517) 780-9263
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 4704105291 Michigan

Profile Details

NPI number 1972500536
LBN Legal business name Chadderton, Colleen
Credentials RNC, MSN, CPNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
Last updated Jun 7th, 2011 - about 15 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 1972500536 NPPES
Michigan MEDICAID 3200785-10
Michigan Other Q04418

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