Charles, Patrick Anselm

Charles, Patrick Anselm is an sole proprietor health care provider with primary practice located at 18601 Mack Ave Suite 2, Detroit MI 48236-3250. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Charles, Patrick Anselm can be contacted via phone (313) 640-1250.

Contact Information

Primary practice address
18601 Mack Ave Suite 2 Detroit MI 48236-3250
Phone: (313) 640-1250
Fax: (313) 640-1291
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301058495 Michigan

Profile Details

NPI number 1396742151
LBN Legal business name Charles, Patrick Anselm
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2005
Last updated Dec 18th, 2007 - about 19 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 1396742151 NPPES
Michigan Other 1108233132 BCBSM PROVIDER #
Michigan MEDICAID 2876665 BCBSM PROVIDER #

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