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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558427633 | NPPES |
| New Jersey | MEDICAID | 5353700 |
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