Congrove, Charles W

Congrove, Charles W is an individual health care provider with primary practice located at 4449 State Route 159 Pob 6179, Chillicothe OH 45601-8620. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Congrove, Charles W can be contacted via phone (740) 773-4366.

Contact Information

Primary practice address
4449 State Route 159 Pob 6179 Chillicothe OH 45601-8620
Fax: (740) 773-8322
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X E-0003054 Ohio

Profile Details

NPI number 1396711271
LBN Legal business name Congrove, Charles W
Credentials LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Jul 8th, 2007 - about 17 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 1396711271 NPPES
Ohio Other 000000305807 ANTHEM

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