Lucan Watt Chatterley
Family Doctor Neuromusculoskeletal Medicine (NMM)
4600 Breton Rd Se Ste 102
Kentwood
, Michigan 49508-5220
Lucan Watt Chatterley
Family Doctor Neuromusculoskeletal Medicine (NMM)
4600 Breton Rd Se Ste 102
Kentwood
, Michigan 49508-5220
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About
Features
Specialties
- Neuromusculoskeletal Medicine (NMM)
- Family Doctor
Languages spoken
- English
Location
First Address
- Lucan Watt Chatterley
- 100 Michigan St Ne # Mc845
- Grand Rapids, MI
- Zip : 49503-2560
- Phone :
Second Address
- Lucan Watt Chatterley
- 4600 Breton Rd Se Ste 102
- Kentwood, MI
- Zip : 49508-5220
- Phone : (616) 391-9700
Reviews
FAQs
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Is Lucan Watt Chatterley a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 5101022000 | MI |
| Y | 207Q00000X | Family Doctor | 5101022000 | MI |
National Provider Identifier
| NPI | 1053793489 |
|---|---|
| Provider Name | Lucan Watt Chatterley |
| First Address | Grand Rapids, MI 49503-2560 |
| Second Address | Kentwood, MI 49508-5220 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/06/2015 |
| Last Update Date | 22/02/2021 |
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.