Chisdak, Michael
Chisdak, Michael is an individual health care provider with primary practice located at 52 Harrison St , Johnson City NY 13790-2120. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Chisdak, Michael can be contacted via phone (607) 729-8845.Contact Information
Primary practice address
52 Harrison St
Johnson City NY 13790-2120
Phone: (607) 729-8845
Fax: (607) 729-5574
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 168967 | New York |
Profile Details
| NPI number | 1295735561 |
|---|---|
| LBN Legal business name | Chisdak, Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2005 |
| Last updated | Mar 24th, 2016 - about 10 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 | 1295735561 | NPPES |
| New York | MEDICAID | 00845607 |
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