Individual
CHAD LIGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS, CPT, CTTS
Contact information
Practice address
1200 N WEST AVE, JACKSON, MI 49202-2179
(517) 262-9060
Mailing address
1200 N WEST AVE, JACKSON, MI 49202-2179
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
PV0000000856481
MI
Other
Enumeration date
12/06/2019
Last updated
12/06/2019
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