Canvasser, Charles M

Canvasser, Charles M is an sole proprietor health care provider with primary practice located at 34500 Ford Rd , Westland MI 48185-3090. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Canvasser, Charles M can be contacted via phone (734) 729-2200.

Contact Information

Primary practice address
34500 Ford Rd Westland MI 48185-3090
Phone: (734) 729-2200
Fax: (734) 729-3857
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 5302024145 Michigan

Profile Details

NPI number 1023106705
LBN Legal business name Canvasser, Charles M
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2006
Last updated Jul 8th, 2007 - about 18 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 1023106705 NPPES
Michigan MEDICAID 2940800

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