Healthcare Provider Details

I. General information

NPI: 1295698256
Provider Name (Legal Business Name): CHAKAHIER ALOSAMER MILLER OLIVER PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2025
Last Update Date: 12/06/2025
Certification Date: 12/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5255 W PIERSON RD
FLUSHING MI
48433-2703
US

IV. Provider business mailing address

5255 W PIERSON RD
FLUSHING MI
48433-2703
US

V. Phone/Fax

Practice location:
  • Phone: 810-258-9413
  • Fax:
Mailing address:
  • Phone: 810-258-9413
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1-155095
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: