Chae, Won B
Chae, Won B is an sole proprietor health care provider with primary practice located at 29829 Telegraph Rd Ste L103, Southfield MI 48034-1376. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Nuclear Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Chae, Won B can be contacted via phone (248) 352-9525.Contact Information
Primary practice address
29829 Telegraph Rd Ste L103
Southfield MI 48034-1376
Phone: (248) 352-9525
Fax: (248) 357-2959
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | WC058039 | Michigan |
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | WC058039 | Michigan |
| Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | WC058039 | Michigan |
Profile Details
| NPI number | 1831192640 |
|---|---|
| LBN Legal business name | Chae, Won B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2005 |
| Last updated | Jan 27th, 2010 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831192640 | NPPES |
| Michigan | MEDICAID | 3349772 | |
| Michigan | Other | 132484 | |
| Michigan | Other | 18674 | |
| Michigan | Other | 5101 | |
| Michigan | Other | 52972 | |
| Michigan | Other | 1770819864 | |
| Michigan | Other | CD9258 | |
| Michigan | MEDICAID | 4997089 | |
| Michigan | Other | 700F372090 | |
| Michigan | Other | RA630034 |
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