Chaka, Michael Robert

Chaka, Michael Robert is an individual health care provider with primary practice located at 2398 Hillsdale Dr , Beavercreek OH 45431-5670. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Chaka, Michael Robert can be contacted via phone (419) 699-4398.

Contact Information

Primary practice address
2398 Hillsdale Dr Beavercreek OH 45431-5670
Phone: (419) 699-4398
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35-129022 Ohio
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1265774798
LBN Legal business name Chaka, Michael Robert
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2013
Last updated Aug 2nd, 2016 - about 10 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.

Request for update

Popular Providers