Genovese, Charles Raymond
Genovese, Charles Raymond is an sole proprietor health care provider with primary practice located at 312 East Railroad Avenue , Independence LA 70443. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Genovese, Charles Raymond can be contacted via phone (985) 878-4183.Contact Information
Primary practice address
312 East Railroad Avenue
Independence LA 70443
Phone: (985) 878-4183
Fax: (985) 878-3830
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 015669 | Louisiana |
Profile Details
| NPI number | 1891719985 |
|---|---|
| LBN Legal business name | Genovese, Charles Raymond |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891719985 | NPPES |
| Louisiana | MEDICAID | 1335681 |
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