Provider Demographics
NPI:1619673969
Name:GREEMAN, CHELSEA MAE
Entity Type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:MAE
Last Name:GREEMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:CHELSEA
Other - Middle Name:MAE
Other - Last Name:LEFEVRE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:19813 23 MILE RD
Mailing Address - Street 2:
Mailing Address - City:HERSEY
Mailing Address - State:MI
Mailing Address - Zip Code:49639-9609
Mailing Address - Country:US
Mailing Address - Phone:231-832-2249
Mailing Address - Fax:
Practice Address - Street 1:4473 220TH AVE
Practice Address - Street 2:
Practice Address - City:REED CITY
Practice Address - State:MI
Practice Address - Zip Code:49677-8593
Practice Address - Country:US
Practice Address - Phone:231-832-2247
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-07
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator