Broadway, Charles
Broadway, Charles is an individual health care provider with primary practice located at 1109 Jones St , Kennett MO 63857-3824. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Broadway, Charles can be contacted via phone (573) 888-6545.Contact Information
Primary practice address
1109 Jones St
Kennett MO 63857-3824
Phone: (573) 888-6545
Fax: (573) 888-2369
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1932331907 |
|---|---|
| LBN Legal business name | Broadway, Charles |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2009 |
| Last updated | Aug 10th, 2009 - about 16 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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