Conley, Charles L
Conley, Charles L is an individual health care provider with primary practice located at 912 Park Ave , Ironton OH 45638-1596. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Conley, Charles L can be contacted via phone (740) 532-1100.Contact Information
Primary practice address
912 Park Ave
Ironton OH 45638-1596
Phone: (740) 532-1100
Fax: (740) 534-0029
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 34.007949 | Ohio |
Profile Details
| NPI number | 1386616373 |
|---|---|
| LBN Legal business name | Conley, Charles L |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 3rd, 2006 |
| Last updated | Feb 10th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386616373 | NPPES |
| West Virginia | MEDICAID | 3810002365 | |
| West Virginia | MEDICAID | 71000151330 | |
| West Virginia | MEDICAID | 2468646 |
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