Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael Joseph Chisam

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1093274342

Michael Joseph Chisam is a Student in an Organized Health Care Education/Training Program in Camp Lejeune, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2019
Specialties on file
2

Practice location Address checks out

100 Brewster Blvd
Camp Lejeune, NC 28547-2575
Phone: (757) 953-2339
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 2020-03385 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1093274342
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 17, 2019
Last updated in NPPESJanuary 11, 2022
Certification dateJanuary 7, 2022

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