Charon, Christopher C

Charon, Christopher C is an individual health care provider with primary practice located at 145 Pomfret St , Putnam CT 06260-1803. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Charon, Christopher C can be contacted via phone (860) 928-7330.

Contact Information

Primary practice address
145 Pomfret St Putnam CT 06260-1803
Phone: (860) 928-7330
Fax: (860) 928-1907
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 041543 Connecticut
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 217650 Massachusetts

Profile Details

NPI number 1831186840
LBN Legal business name Charon, Christopher C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Oct 21st, 2010 - 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 1831186840 NPPES
Connecticut MEDICAID 003119288
Connecticut MEDICAID 2019892

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