Provider Demographics
NPI:1447335690
Name:CHELSEA PROFESSIONAL SERVICES
Entity type:Organization
Organization Name:CHELSEA PROFESSIONAL SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:J
Authorized Official - Last Name:BIRCHLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-475-1311
Mailing Address - Street 1:4525 S M 52
Mailing Address - Street 2:
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:MI
Mailing Address - Zip Code:49285-9465
Mailing Address - Country:US
Mailing Address - Phone:517-851-9522
Mailing Address - Fax:517-851-9732
Practice Address - Street 1:4525 S M 52
Practice Address - Street 2:
Practice Address - City:STOCKBRIDGE
Practice Address - State:MI
Practice Address - Zip Code:49285-9465
Practice Address - Country:US
Practice Address - Phone:517-851-9522
Practice Address - Fax:517-851-9732
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2009-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1265538441OtherINDIVIDUAL NPI FOR TONYA A. SEXTON, DO
MI43884611Medicaid
MI0853303224OtherBCBSM
MI0853303224OtherBCBSM
MI43884611Medicaid