Chesterfield, Michael John

Chesterfield, Michael John is an individual health care provider with primary practice located at 840 Wood St , Clarion PA 16214-1240. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Chesterfield, Michael John can be contacted via phone (814) 393-2006.

Contact Information

Primary practice address
840 Wood St Clarion PA 16214-1240
Phone: (814) 393-2006
Fax: (814) 393-1735
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X RT004383 Pennsylvania

Profile Details

NPI number 1407254451
LBN Legal business name Chesterfield, Michael John
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2014
Last updated Dec 8th, 2014 - about 11 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 1407254451 NPPES
Pennsylvania Other RT004383 COMMONWEALTH OF PA DEPT OF STATE BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIR

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