Birch, Charles Austin
Birch, Charles Austin is an individual health care provider with primary practice located at 1575 Skylyn Dr , Spartanburg SC 29307-1034. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Birch, Charles Austin can be contacted via phone (864) 699-9193.Contact Information
Primary practice address
1575 Skylyn Dr
Spartanburg SC 29307-1034
Phone: (864) 699-9193
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 4059 | South Carolina |
Profile Details
| NPI number | 1124065107 |
|---|---|
| LBN Legal business name | Birch, Charles Austin |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2006 |
| Last updated | Jun 20th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124065107 | NPPES |
| South Carolina | MEDICAID | Z4059 |
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