Charlotten, Kevin Alexander

Charlotten, Kevin Alexander is an sole proprietor health care provider with primary practice located at 4150 78Th St Ste 102103 Q-Care Affordable Medical Care, Pllc, Elmhurst NY 11373-1950. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Charlotten, Kevin Alexander can be contacted via phone (718) 606-0187.

Contact Information

Primary practice address
4150 78Th St Ste 102103 Q-Care Affordable Medical Care, Pllc Elmhurst NY 11373-1950
Fax: (718) 606-0958
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 221293 New York

Profile Details

NPI number 1538143433
LBN Legal business name Charlotten, Kevin Alexander
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2005
Last updated Apr 26th, 2011 - about 13 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 1538143433 NPPES
New York MEDICAID 02230353

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