Ftacek, Charles Edmund

Ftacek, Charles Edmund is an individual health care provider with primary practice located at 4078 Hamilton St Apt 3 , San Diego CA 92104-6144. He recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Education, which is considered as his primary health care specialty. Ftacek, Charles Edmund can be contacted via phone (615) 815-6183.

Contact Information

Primary practice address
4078 Hamilton St Apt 3 San Diego CA 92104-6144
Phone: (615) 815-6183
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X

Profile Details

NPI number 1386365682
LBN Legal business name Ftacek, Charles Edmund
Credentials MS, CNS
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2022
Last updated Oct 18th, 2022 - about 2 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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