Provider Demographics
NPI:1265120034
Name:GEIGER, CHELSEA (PA-S)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:
Last Name:GEIGER
Suffix:
Gender:F
Credentials:PA-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1453 W PECK LAKE RD
Mailing Address - Street 2:
Mailing Address - City:IONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48846-9444
Mailing Address - Country:US
Mailing Address - Phone:517-256-7163
Mailing Address - Fax:
Practice Address - Street 1:1453 W PECK LAKE RD
Practice Address - Street 2:
Practice Address - City:IONIA
Practice Address - State:MI
Practice Address - Zip Code:48846-9444
Practice Address - Country:US
Practice Address - Phone:517-256-7163
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-28
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5601012500363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant