Charochak, Anita Irene
Charochak, Anita Irene is an individual health care provider with primary practice located at 5900 Byron Center Ave Sw , Wyoming MI 49519-9606. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Critical Care Medicine is her primary health care specialty. Charochak, Anita Irene can be contacted via phone (616) 252-7200.Contact Information
Primary practice address
5900 Byron Center Ave Sw
Wyoming MI 49519-9606
Phone: (616) 252-7200
Fax: (616) 252-6239
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 5101010442 | Michigan |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | OS13558 | Florida |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | OS13558 | Florida |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 5101010442 | Michigan |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 5101010442 | Michigan |
Profile Details
| NPI number | 1760484869 |
|---|---|
| LBN Legal business name | Charochak, Anita Irene |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2005 |
| Last updated | Sep 15th, 2020 - about 6 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 | 1760484869 | NPPES |
| Michigan | MEDICAID | 4846754 | |
| Michigan | Other | AC010442 | |
| Michigan | Other | 70-0-F32947-0 |
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