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Contact Information

JEFFREY K CHAULK MD PC
1200 N DOWN RIVER RD
GRAYLING, MI49738
 Phone: 989-348-8689
 Fax: 989-348-6462
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for JEFFREY K CHAULK MD PC

NPI # 1558557454
LBN Legal business name JEFFREY K CHAULK MD PC
Authorized official JEFFREY CHAULK - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/25/2007
Last updated 02/26/2008 - About 18 years ago
Identifiers
MI License # 4301081575
MI License # 4301405077
MI License # 4901003939
MI License # 4901004074
MI Medicaid 3038306
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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