Chetham, Michele M
Chetham, Michele M is an individual health care provider with primary practice located at 180 E Hampden Ave , Englewood CO 80113-2506. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Chetham, Michele M can be contacted via phone (303) 789-4968.Contact Information
Primary practice address
180 E Hampden Ave
Englewood CO 80113-2506
Phone: (303) 789-4968
Fax: (303) 789-6018
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | 31736 | Colorado |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 31736 | Colorado |
Profile Details
| NPI number | 1073596524 |
|---|---|
| LBN Legal business name | Chetham, Michele M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 29th, 2005 |
| Last updated | Apr 11th, 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 | 1073596524 | NPPES |
| Colorado | MEDICAID | 01317361 | |
| Colorado | MEDICAID | 122626600 | |
| Colorado | Other | 007828 |
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