Chalupa, David E

Chalupa, David E is an individual health care provider with primary practice located at 3950 Hollywood Rd Ste 110 , Saint Joseph MI 49085-9151. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Chalupa, David E can be contacted via phone (269) 985-1000.

Contact Information

Primary practice address
3950 Hollywood Rd Ste 110 Saint Joseph MI 49085-9151
Phone: (269) 985-1000
Fax: (269) 983-3181
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 5601003437 Michigan

Profile Details

NPI number 1063635035
LBN Legal business name Chalupa, David E
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2007
Last updated Mar 12th, 2019 - about 7 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 1063635035 NPPES
Other 0M95350 GROUP MEDICARE PIN

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