Chudler, Angel

Chudler, Angel is an individual health care provider with primary practice located at 18101 Oakwood Blvd , Dearborn MI 48124-4089. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as her primary health care specialty. Chudler, Angel can be contacted via phone (313) 953-7000.

Contact Information

Primary practice address
18101 Oakwood Blvd Dearborn MI 48124-4089
Phone: (313) 953-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 5101014519 Michigan

Profile Details

NPI number 1609854280
LBN Legal business name Chudler, Angel
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Jul 9th, 2007 - about 19 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 1609854280 NPPES
Michigan MEDICAID 11-4615004
Michigan MEDICAID 11-4615013
Michigan MEDICAID 11-4615022
Michigan Other 0158211355
Michigan MEDICAID 11-4615031
Michigan MEDICAID 11-4614992

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