Channie Lataurus Odams, LPN is a
Licensed Practical Nurse based in Brighton, Michigan. Channie Lataurus Odams is licensed to practice in Michigan (license number 4703101060) and her current practice location is
9864 E Grand River Ave, #110, Brighton, Michigan. She can be reached at her office (for appointments etc.) via phone at
(336) 813-8203.
NPI number for Channie Lataurus Odams is 1740519602 and her current mailing address is 9864 E Grand River Ave, #110, Brighton, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1740519602.
Provider's Profile
| Full Name | Channie Lataurus Odams |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 9864 E Grand River Ave, Brighton, Michigan |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1740519602
- Provider Enumeration Date: 12/23/2009
- Last Update Date: 04/25/2016
Medical Identifiers
Medical identifiers for Channie Lataurus Odams such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740519602 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | LPN090950 (Georgia) | Secondary |
| 164W00000X | Licensed Practical Nurse | 4703101060 (Michigan) | Primary |
| 164W00000X | Licensed Practical Nurse | 71594 (North Carolina) | Secondary |
| 374U00000X | Home Health Aide | (* (Not Available)) | Secondary |
| 376K00000X | Nurse's Aide | (* (Not Available)) | Secondary |
| 372600000X | Adult Companion | (* (Not Available)) | Secondary |
| 372500000X | Chore Provider | (* (Not Available)) | Secondary |
| 3747A0650X | Technician - Attendant Care Provider | 3747A0650X (Michigan) | Secondary |
| 376J00000X | Homemaker | (Michigan) | Secondary |
| 3747P1801X | Technician - Personal Care Attendant | (Michigan) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (Michigan) | Secondary |
| 172A00000X | Driver | (Michigan) | Secondary |
| 374700000X | Technician | (Michigan) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Channie Lataurus Odams is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Channie Lataurus Odams, LPN
9864 E Grand River Ave, #110,
Brighton, MI 48116-1963
Ph: (336) 813-8203 | Channie Lataurus Odams, LPN
9864 E Grand River Ave, #110,
Brighton, MI 48116-1963
Ph: (336) 813-8203 |
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