Chenoweth, James Richard

Chenoweth, James Richard is an sole proprietor health care provider with primary practice located at 4335 Jackson Rd , Ann Arbor MI 48103-1831. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Chenoweth, James Richard can be contacted via phone (734) 996-5529.

Contact Information

Primary practice address
4335 Jackson Rd Ann Arbor MI 48103-1831
Phone: (734) 996-5529
Fax: (734) 996-2757
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301043932 Michigan

Profile Details

NPI number 1902863020
LBN Legal business name Chenoweth, James Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2006
Last updated Oct 17th, 2011 - about 15 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 1902863020 NPPES
Michigan Other 080813885 BCBS
Michigan MEDICAID 3139630010 BCBS

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