Grubb, Charles R

Grubb, Charles R is an sole proprietor health care provider with primary practice located at 3794 Hecktown Rd Ste 250 , Easton PA 18045-2355. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Grubb, Charles R can be contacted via phone (484) 544-0122.

Contact Information

Primary practice address
3794 Hecktown Rd Ste 250 Easton PA 18045-2355
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MB03357700 New Jersey
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS003693L Pennsylvania

Profile Details

NPI number 1780644831
LBN Legal business name Grubb, Charles R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 24th, 2006
Last updated Sep 26th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1780644831 NPPES
New Jersey Other 051817 HORIZON BC/BS
New Jersey Other 2118788002 HORIZON BC/BS
New Jersey Other 2K2095 HORIZON BC/BS
New Jersey Other 530507 HORIZON BC/BS
New Jersey Other 223713972 HORIZON BC/BS
New Jersey Other P591243 HORIZON BC/BS
New Jersey Other 2118788002 HORIZON BC/BS
New Jersey MEDICAID 2862905 HORIZON BC/BS
New Jersey Other 223713972 HORIZON BC/BS

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