Ford, Charles Richard

Ford, Charles Richard is an sole proprietor health care provider with primary practice located at 4742 Black Swan Drive , Shawnee KS 66216. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Ford, Charles Richard can be contacted via phone (913) 268-0265.

Contact Information

Primary practice address
4742 Black Swan Drive Shawnee KS 66216
Phone: (913) 268-0265
Fax: (913) 768-8210
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 04-13088 Kansas

Profile Details

NPI number 1689801441
LBN Legal business name Ford, Charles Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2009
Last updated Jun 18th, 2009 - about 16 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 1689801441 NPPES
Kansas Other 04-13088 KANSAS STATE BOARD OF HEALING ARTS

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