Individual
DR. MICHELLE CHELOHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3911 AVENUE B, SUITE 1100, SCOTTSBLUFF, NE 69361-4617
(308) 630-2100
(308) 630-2149
Mailing address
2990 MONUMENT SHADOWS, GERING, NE 69341-1568
(308) 635-1515
(308) 630-2149
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21891
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00060799
RR MEDICARE
NE
Enumeration date
07/26/2006
Last updated
03/26/2008
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