James Brown Chauncey III
Pulmonary Disease
205 N East Ave
Jackson
, Michigan 49201-1753
James Brown Chauncey III
Pulmonary Disease
205 N East Ave
Jackson
, Michigan 49201-1753
(517) 782-1223
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About
Features
Specialties
- Pulmonary Disease
Languages spoken
- English
Location
First Address
- James Brown Chauncey III
- Po Box 67000 Department 272801
- Detroit, MI
- Zip : 48267-0002
- Fax : (517) 782-1223
- Phone : (517) 782-3190
Second Address
- James Brown Chauncey III
- 205 N East Ave
- Jackson, MI
- Zip : 49201-1753
- Phone : (517) 788-4800
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RP1001X | Pulmonary Disease | 4301044393 | MI |
National Provider Identifier
| NPI | 1053377044 |
|---|---|
| Provider Name | James Brown Chauncey III |
| First Address | Detroit, MI 48267-0002 |
| Second Address | Jackson, MI 49201-1753 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/04/2006 |
| Last Update Date | 15/01/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 104502969 | (05) | MI |
| 110185324 | RR MEDICARE (01) | MI |
| A39802 | (02) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.