Bronaugh, Charda P
Bronaugh, Charda P is an sole proprietor health care provider with primary practice located at 1607 W Frank Ave Suite 109, Lufkin TX 75904-3103. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Bronaugh, Charda P can be contacted via phone (936) 632-1010.Contact Information
Primary practice address
1607 W Frank Ave Suite 109
Lufkin TX 75904-3103
Phone: (936) 632-1010
Fax: (936) 632-3233
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X |
Profile Details
| NPI number | 1114976420 |
|---|---|
| LBN Legal business name | Bronaugh, Charda P |
| Credentials | OPTICIAN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 6th, 2006 |
| Last updated | Dec 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114976420 | NPPES |
| Texas | MEDICAID | 086517201 |
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