National Provider Identifier Database

CHANTALE E BOTHUELL, DPM – NPI #1457566341
Podiatrist

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.


Contact Information

CHANTALE E BOTHUELL, DPM
2424 FORDHAM ST
KEEGO HARBOR, MI48320-1412
Phone: 313-384-7300
Fax: 248-747-4014
Website:
Specialty Taxonomy Code
* Podiatrist 213E00000X

* Indicates primary specialty

NPI Profile & details for CHANTALE E BOTHUELL

NPI Number 1457566341
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 05/14/2007
Last updated 03/09/2017 - About 9 years ago
Sole proprietor1 Yes
Identifiers
  • MI License #: 5901002140
  • MI Medicaid: 2265017
Hospital affiliation n/a

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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