Provider Demographics
NPI:1316313463
Name:CHALVONTE BILLING SERVICES
Entity type:Organization
Organization Name:CHALVONTE BILLING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHALVONTE
Authorized Official - Middle Name:
Authorized Official - Last Name:CROSBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-315-0151
Mailing Address - Street 1:14144 BEECH DALY RD
Mailing Address - Street 2:
Mailing Address - City:REDFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48239-2953
Mailing Address - Country:US
Mailing Address - Phone:313-315-0151
Mailing Address - Fax:313-740-7458
Practice Address - Street 1:14144 BEECH DALY RD
Practice Address - Street 2:
Practice Address - City:REDFORD
Practice Address - State:MI
Practice Address - Zip Code:48239-2953
Practice Address - Country:US
Practice Address - Phone:313-315-0151
Practice Address - Fax:313-740-7458
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-12
Last Update Date:2015-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty