Brondos, Charles E

Brondos, Charles E is an individual health care provider with primary practice located at 715 S Cowley St Suite 224, Spokane WA 99202-1375. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Brondos, Charles E can be contacted via phone (509) 624-9154.

Contact Information

Primary practice address
715 S Cowley St Suite 224 Spokane WA 99202-1375
Phone: (509) 624-9154
Fax: (509) 838-0102
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 13652 Washington

Profile Details

NPI number 1770529786
LBN Legal business name Brondos, Charles E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Jul 9th, 2007 - about 17 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 1770529786 NPPES
Washington MEDICAID 1045905
Washington Other 31507
Washington MEDICAID 35-9723
Washington Other KA634
Washington Other E01073

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