Charlebois, Daniel R

Charlebois, Daniel R is an individual health care provider with primary practice located at 46520 North Rd , Southold NY 11971-5040. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Charlebois, Daniel R can be contacted via phone (631) 765-9389.

Contact Information

Primary practice address
46520 North Rd Southold NY 11971-5040
Phone: (631) 765-9389
Fax: (631) 765-9369
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 4399 New York

Profile Details

NPI number 1407181324
LBN Legal business name Charlebois, Daniel R
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2009
Last updated Oct 9th, 2009 - about 15 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 1407181324 NPPES
New York MEDICAID 00274337

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