Conway, Charlene

Conway, Charlene is an sole proprietor health care provider with primary practice located at 2101 Courage Dr , Fairfield CA 94533-6717. She recently has only one registered license in Nursing Service Providers / Licensed Psychiatric Technician, which is considered as her primary health care specialty. Conway, Charlene can be contacted via phone (707) 639-4675.

Contact Information

Primary practice address
2101 Courage Dr Fairfield CA 94533-6717
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Psychiatric Technician 167G00000X 40381 California

Profile Details

NPI number 1770018962
LBN Legal business name Conway, Charlene
Credentials LPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2017
Last updated Apr 25th, 2017 - about 7 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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