Eldredge, Charles J
Eldredge, Charles J is an individual health care provider with primary practice located at 555 French Rd Suite 103, New Hartford NY 13413-1044. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Eldredge, Charles J can be contacted via phone (315) 735-3541.Contact Information
Primary practice address
555 French Rd Suite 103
New Hartford NY 13413-1044
Phone: (315) 735-3541
Fax: (315) 724-3255
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 165839 | New York |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 165839 | New York |
Profile Details
NPI number | 1215989322 |
---|---|
LBN Legal business name | Eldredge, Charles J |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 17th, 2006 |
Last updated | Jul 30th, 2009 - about 15 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 | 1215989322 | NPPES |
New York | MEDICAID | 01070199 |
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