Emrich, Charles Ira

Emrich, Charles Ira is an individual health care provider with primary practice located at 131 Prosperous Pl Suite 20 A, Lexington KY 40509-1853. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Emrich, Charles Ira can be contacted via phone (859) 263-8888.

Contact Information

Primary practice address
131 Prosperous Pl Suite 20 A Lexington KY 40509-1853
Fax: (859) 263-8889
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4985 Kentucky

Profile Details

NPI number 1154307585
LBN Legal business name Emrich, Charles Ira
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated Jul 8th, 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 1154307585 NPPES
Kentucky MEDICAID 60049855

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