Davis, Charles R.

Davis, Charles R. is an sole proprietor health care provider with primary practice located at 436 E Carpenter Dr , New Carlisle OH 45344-2529. He recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as his primary health care specialty. Davis, Charles R. can be contacted via phone (937) 238-1347.

Contact Information

Primary practice address
436 E Carpenter Dr New Carlisle OH 45344-2529
Phone: (937) 238-1347
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1588073175
LBN Legal business name Davis, Charles R.
Credentials HHA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 7th, 2014
Last updated Aug 7th, 2014 - about 11 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 1588073175 NPPES
Ohio MEDICAID 107010732999

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