Dembowski, Charles
Dembowski, Charles is an individual health care provider with primary practice located at 167 Polk St. Suite 200, Watertown NY 13601. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Dembowski, Charles can be contacted via phone (315) 786-0983.Contact Information
Primary practice address
167 Polk St. Suite 200
Watertown NY 13601
Phone: (315) 786-0983
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | TUV005520 | New York |
| Eye and Vision Services Providers / Optometrist | 152W00000X | OV005520 | New York |
Profile Details
| NPI number | 1447205570 |
|---|---|
| LBN Legal business name | Dembowski, Charles |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2006 |
| Last updated | Jul 8th, 2010 - about 14 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 | 1447205570 | NPPES |
| New York | MEDICAID | 01995615 |
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