Chally, Cecil H

Chally, Cecil H is an individual health care provider with primary practice located at 15700 37Th Ave N Suite 300, Plymouth MN 55446-3661. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Chally, Cecil H can be contacted via phone (612) 871-1145.

Contact Information

Primary practice address
15700 37Th Ave N Suite 300 Plymouth MN 55446-3661
Fax: (612) 870-5491
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 19040 Minnesota

Profile Details

NPI number 1811969678
LBN Legal business name Chally, Cecil H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated May 21st, 2014 - about 12 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 1811969678 NPPES
Minnesota MEDICAID 610577700

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