Valentine, Charise Lanette

Valentine, Charise Lanette is an individual health care provider with primary practice located at 4245 S Beech Daly St Suite 104, Dearborn Heights MI 48125-1567. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Valentine, Charise Lanette can be contacted via phone (313) 730-9011.

Contact Information

Primary practice address
4245 S Beech Daly St Suite 104 Dearborn Heights MI 48125-1567
Phone: (313) 730-9011
Fax: (313) 730-9013
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X CV053752 Michigan
Allopathic & Osteopathic Physicians / General Practice 208D00000X CV053752 Michigan

Profile Details

NPI number 1366485039
LBN Legal business name Valentine, Charise Lanette
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Feb 4th, 2011 - about 15 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 1366485039 NPPES
Michigan Other 1306343272 BCBS PERSONAL
Michigan MEDICAID 4614876-10 BCBS PERSONAL
Michigan Other 700H219440 BCBS PERSONAL

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