Fautin, Charles H

Fautin, Charles H is an individual health care provider with primary practice located at 530 Nw 27Th St , Corvallis OR 97330-5223. He recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as his primary health care specialty. Fautin, Charles H can be contacted via phone (541) 766-6835.

Contact Information

Primary practice address
530 Nw 27Th St Corvallis OR 97330-5223
Phone: (541) 766-6835
Fax: (541) 766-6186
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X Oregon

Profile Details

NPI number 1316008667
LBN Legal business name Fautin, Charles H
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Jul 8th, 2007 - about 18 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 1316008667 NPPES
Wyoming Other 13288 REGISTERED NURSE
Wyoming Other 19445 REGISTERED NURSE

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