Charles J Supernavage, Md, Pc
LBN: Charles J Supernavage, Md, Pc
Charles J Supernavage, Md, Pc is an health care organization with primary practice located at 201 S Cleveland Ave Suite 403, Hagerstown MD 21740-5745. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Allopathic & Osteopathic Physicians / Otolaryngology is the primary health care specialty.
Charles J Supernavage, Md, Pc can be contacted via phone (301) 739-0400, or through Evans, April C via phone (301) 739-0400.
Contact Information
Primary practice address
201 S Cleveland Ave Suite 403
Hagerstown MD 21740-5745
Phone: (301) 739-0400
Fax: (301) 739-0402
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | D0026440 | Maryland |
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 00963 | Maryland |
| Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter | 237600000X | 00963 | Maryland |
Profile Details
| NPI number | 1639337405 |
|---|---|
| LBN Legal business name | Charles J Supernavage, Md, Pc |
| DBA Doing business as | |
| Authorized official | Evans, April C CMM |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 29th, 2008 |
| Last updated | May 29th, 2008 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639337405 | NPPES |
| Maryland | MEDICAID | 314681200 |
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