Dennis, Charles R
Dennis, Charles R is an individual health care provider with primary practice located at 55 Medford Ave Suite E, Patchogue NY 11772-1229. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Dennis, Charles R can be contacted via phone (631) 687-4190.Contact Information
Primary practice address
55 Medford Ave Suite E
Patchogue NY 11772-1229
Phone: (631) 687-4190
Fax: (631) 687-4198
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 126943-1 | New York |
Profile Details
| NPI number | 1578593786 |
|---|---|
| LBN Legal business name | Dennis, Charles R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 4th, 2006 |
| Last updated | Feb 3rd, 2014 - about 10 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 | 1578593786 | NPPES |
| New York | MEDICAID | 00376701 |
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