Healthcare Provider Details

I. General information

NPI: 1447335690
Provider Name (Legal Business Name): CHELSEA PROFESSIONAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 06/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4525 S M 52
STOCKBRIDGE MI
49285-9465
US

IV. Provider business mailing address

4525 S M 52
STOCKBRIDGE MI
49285-9465
US

V. Phone/Fax

Practice location:
  • Phone: 517-851-9522
  • Fax: 517-851-9732
Mailing address:
  • Phone: 517-851-9522
  • Fax: 517-851-9732

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: MR. JAMES J BIRCHLER
Title or Position: CFO
Credential:
Phone: 734-475-1311