Dodgen, Charles Eugene

Dodgen, Charles Eugene is an sole proprietor health care provider with primary practice located at 526 Bloomfield Ave , Caldwell NJ 07006-5564. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Dodgen, Charles Eugene can be contacted via phone (973) 228-9988.

Contact Information

Primary practice address
526 Bloomfield Ave Caldwell NJ 07006-5564
Phone: (973) 228-9988
Fax: (973) 228-5530
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2704 New Jersey

Profile Details

NPI number 1558427633
LBN Legal business name Dodgen, Charles Eugene
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 31st, 2006
Last updated Jul 9th, 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 1558427633 NPPES
New Jersey MEDICAID 5353700

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