Brown, Charles K

Brown, Charles K is an individual health care provider with primary practice located at 3165 Green Valley Rd , Birmingham AL 35243-5262. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Brown, Charles K can be contacted via phone (205) 967-2103.

Contact Information

Primary practice address
3165 Green Valley Rd Birmingham AL 35243-5262
Fax: (205) 967-2119
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X S462TA018 Alabama

Profile Details

NPI number 1588652242
LBN Legal business name Brown, Charles K
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2005
Last updated Feb 20th, 2008 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588652242 NPPES
Alabama MEDICAID 000030624

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