Charles, Junior

Charles, Junior is an sole proprietor health care provider with primary practice located at 270 Union St Ste 304, Lynn MA 01901-4210. He recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as his primary health care specialty. Charles, Junior can be contacted via phone (978) 203-9191.

Contact Information

Primary practice address
270 Union St Ste 304 Lynn MA 01901-4210
Phone: (978) 203-9191
Fax: (978) 203-9195
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X Massachusetts

Profile Details

NPI number 1710420146
LBN Legal business name Charles, Junior
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 3rd, 2016
Last updated Oct 28th, 2023 - about 2 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 1710420146 NPPES
Massachusetts MEDICAID 81-2998694

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