Ammon, Charles M

Ammon, Charles M is an sole proprietor health care provider with primary practice located at 146 West 5Th Street , East Liverpool OH 43920-3734. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Flight, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Ammon, Charles M can be contacted via phone (330) 382-0165.

Contact Information

Primary practice address
146 West 5Th Street East Liverpool OH 43920-3734
Fax: (330) 382-0275
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Flight 163WF0300X RN270498 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN.CNP.11984 Ohio

Profile Details

NPI number 1306158944
LBN Legal business name Ammon, Charles M
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2010
Last updated May 5th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306158944 NPPES
West Virginia MEDICAID 3810023079
West Virginia MEDICAID 0060646

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