Doram, Charles Anthony
Doram, Charles Anthony is an individual health care provider with primary practice located at 2829 Royal Ave , Monona WI 53713-1535. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Doram, Charles Anthony can be contacted via phone (608) 661-2829.Contact Information
Primary practice address
2829 Royal Ave
Monona WI 53713-1535
Phone: (608) 661-2829
Fax: (608) 661-0907
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 312574 | Wisconsin |
Profile Details
| NPI number | 1346494895 |
|---|---|
| LBN Legal business name | Doram, Charles Anthony |
| Credentials | CSAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 11th, 2008 |
| Last updated | Nov 12th, 2008 - 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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