Charboneau, Michael Joseph
Charboneau, Michael Joseph is an individual health care provider with primary practice located at 730 N Macomb St Suite 329, Monroe MI 48162-2900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Charboneau, Michael Joseph can be contacted via phone (734) 240-5860.Contact Information
Primary practice address
730 N Macomb St Suite 329
Monroe MI 48162-2900
Phone: (734) 240-5860
Fax: (734) 240-5899
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 5101010247 | Michigan |
Profile Details
| NPI number | 1619986213 |
|---|---|
| LBN Legal business name | Charboneau, Michael Joseph |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Nov 3rd, 2023 - about 3 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 | 1619986213 | NPPES |
| Michigan | Other | G22695 | HAP |
| Michigan | Other | 11684 | HAP |
| Michigan | Other | 0255810524 | HAP |
| Michigan | Other | 020046979 | HAP |
| Michigan | MEDICAID | 4218443 | HAP |
| Michigan | Other | 0255810524 | HAP |
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