Brunelle, Charles W
Brunelle, Charles W is an individual health care provider with primary practice located at 375 N Eastown Rd , Lima OH 45807-2214. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Brunelle, Charles W can be contacted via phone (419) 228-3500.Contact Information
Primary practice address
375 N Eastown Rd
Lima OH 45807-2214
Phone: (419) 228-3500
Fax: (419) 228-6700
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 35042012 | Ohio |
Profile Details
| NPI number | 1083685440 |
|---|---|
| LBN Legal business name | Brunelle, Charles W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2006 |
| Last updated | Jul 26th, 2013 - 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 | 1083685440 | NPPES |
| Ohio | MEDICAID | 0361335 |
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