Bae, Charles J

Bae, Charles J is an individual health care provider with primary practice located at 3624 Market St Ste 201 , Philadelphia PA 19104-2614. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Clinical Neurophysiology is his primary health care specialty. Bae, Charles J can be contacted via phone (215) 662-7772.

Contact Information

Primary practice address
3624 Market St Ste 201 Philadelphia PA 19104-2614
Phone: (215) 662-7772
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 2084S0012X MD461584 Pennsylvania
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X MD461584 Pennsylvania

Profile Details

NPI number 1477592335
LBN Legal business name Bae, Charles J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Jul 21st, 2022 - about 2 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 1477592335 NPPES
Ohio MEDICAID 2372847
Ohio Other 130026373

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