Coram, Charles David

Coram, Charles David is an sole proprietor health care provider with primary practice located at 1941 Albia Rd , Ottumwa IA 52501-3708. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Coram, Charles David can be contacted via phone (641) 682-3993.

Contact Information

Primary practice address
1941 Albia Rd Ottumwa IA 52501-3708
Phone: (641) 682-3993
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X A06164 Iowa

Profile Details

NPI number 1376659490
LBN Legal business name Coram, Charles David
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 22nd, 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 1376659490 NPPES
Iowa MEDICAID 0185058

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