Lundin, Chase A
Lundin, Chase A is an sole proprietor health care provider with primary practice located at 4450 W Walton Blvd , Waterford Twp MI 48329-4093. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Lundin, Chase A can be contacted via phone (248) 600-5827.Contact Information
Primary practice address
4450 W Walton Blvd
Waterford Twp MI 48329-4093
Phone: (248) 600-5827
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 147370 | Alaska |
| Dental Providers / Dentist | 122300000X | 2901601914 | Michigan |
Profile Details
| NPI number | 1821649864 |
|---|---|
| LBN Legal business name | Lundin, Chase A |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2019 |
| Last updated | Jan 8th, 2024 - about 2 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 | 1821649864 | NPPES |
| Alaska | MEDICAID | 147370 |
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