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Contact Information

JEFFREY M CHADWICK, OD
325 M-55 EAST
TAWAS CITY, MI48763
 Phone: 989-362-2754
 Fax: 989-362-6231
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for JEFFREY M CHADWICK · (Male)

NPI # 1720017312
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 07/03/2006
Last updated 11/22/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 4901003807
  • MI Medicaid 3473906
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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