Doyle, Charles Glenn

Doyle, Charles Glenn is an sole proprietor health care provider with primary practice located at 1230 N Duquesne Rd , Joplin MO 64801-1509. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Doyle, Charles Glenn can be contacted via phone (417) 782-1443.

Contact Information

Primary practice address
1230 N Duquesne Rd Joplin MO 64801-1509
Phone: (417) 782-1443
Fax: (417) 782-3240
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2004033755 Missouri

Profile Details

NPI number 1821073909
LBN Legal business name Doyle, Charles Glenn
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 12th, 2005
Last updated Sep 11th, 2013 - about 11 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 1821073909 NPPES
Missouri MEDICAID 495853517

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