Charles, Linda

Charles, Linda is an individual health care provider with primary practice located at 402 West Lake St. , Friendship WI 53934. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Charles, Linda can be contacted via phone (608) 339-8370.

Contact Information

Primary practice address
402 West Lake St. Friendship WI 53934
Phone: (608) 339-8370
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 2207 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2207-33 Wisconsin

Profile Details

NPI number 1912044462
LBN Legal business name Charles, Linda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
Last updated Apr 29th, 2015 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912044462 NPPES
Wisconsin MEDICAID 41187000

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