Kipp L Chillag in Muskegon - Neurodevelopmental Disabilities
Kipp L Chillag - NPI 1518931245
Kipp L Chillag is a Neurodevelopmental Disabilities in Muskegon, Michigan. Kipp L Chillag practices all healthcare services and medical treatments related to Neurodevelopmental Disabilities. The NPI Number for Kipp L Chillag is 1518931245. The last update date is 2021-09-13.
Kipp L Chillag's current location address is Po Box 1848, Muskegon, Michigan. You can contact this provider via phone number 2316724243 and fax number 2317274214. The mailing address for Kipp L Chillag is Po Box 1848, Muskegon, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kipp L Chillag |
|---|---|
| Address | Po Box 1848, Muskegon, Michigan |
| Phone Number | 2316724243 |
| Fax Number | 2317274214 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1518931245 |
|---|---|
| Provider Enumeration Date | 2006-02-17 |
| Last Updated Date | 2021-09-13 |
Provider Mailing Address Detail
| Address | Po Box 1848 |
|---|---|
| City | Muskegon |
| State | Michigan (MI) |
| Post Code | 494431848 |
| Phone Number | 2316724243 |
| Fax Number | 2317274214 |
Provider's Primary Taxonomy Detail
| Speciality | Neurodevelopmental Disabilities |
|---|---|
| Taxonomy | 2080P0008X |
| Licence No | 51010114017 |
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Definition: A pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| H400493386 | MN | MEDICARE PTAN |
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What is the unique 10-digit identifier code issued to Kipp L Chillag by the Centers for Medicare & Medicaid Services?
The Kipp L Chillag has been assigned the NPI (National Provider Identifier) 1518931245 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Kipp L Chillag located?
The Kipp L Chillag is located at Po Box 1848, Muskegon, MI 494431848.
What is Kipp L Chillag's area of expertise and its corresponding taxonomy classification?
The Kipp L Chillag's field of specialization is Neurodevelopmental Disabilities, and it falls under the taxonomy code 2080P0008X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1518931245 to Kipp L Chillag?
The Kipp L Chillag received its 1518931245 assignment from the Centers for Medicare & Medicaid Services on 2006-02-17.
As of what date were the details related to Kipp L Chillag most recently updated or revised?
The information pertaining to Kipp L Chillag, including its address, specialty, and other relevant details, was last updated or revised on 2021-09-13.