Czarniawski, Charissa Maria
Czarniawski, Charissa Maria is an individual health care provider with primary practice located at Smo Mag 39 Medical Cg Thirdmaw Box 555750, Camp Pendleton CA 92055-5750. She recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as her primary health care specialty. Czarniawski, Charissa Maria can be contacted via phone (760) 725-2969.Contact Information
Primary practice address
Smo Mag 39 Medical Cg Thirdmaw Box 555750
Camp Pendleton CA 92055-5750
Phone: (760) 725-2969
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Corpsman | 1710I1002X |
Profile Details
| NPI number | 1982857645 |
|---|---|
| LBN Legal business name | Czarniawski, Charissa Maria |
| Credentials | IDC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 28th, 2008 |
| Last updated | Nov 18th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982857645 | NPPES |
| California | Other | 1710I1002X | INDEPENDENT DUTY CORPSMAN |
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