| Provider / Organization | NPI | Date Certified |
|---|---|---|
| CHAYSON HURST | 1962082354 | 2021-04-10 |
Chayson Hurst is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1962082354. Registration indicates Chayson Hurst is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Entity Type | Individual |
| Provider Name | Chayson Hurst MD |
| Practice Office Address | 4201 ST. ANTOINE UHC-9C DETROIT, MI US |
| Practice Office Telephone | 3137455146 |
| Mailing Address | 4201 ST. ANTOINE UHC-9C DETROIT, MI 48201 US |
| Address | City / State | Phone / Fax |
|---|---|---|
| 2906 N Dixie Hwy | Monroe, MI 481625298 | 7344973151 |
| Code | Practice | License No State |
|---|---|---|
| 390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |