Gruenwald, Charles

Gruenwald, Charles is an sole proprietor health care provider with primary practice located at 4309 Bluebonnet Blvd , Baton Rouge LA 70809. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Gruenwald, Charles can be contacted via phone (225) 925-3140.

Contact Information

Primary practice address
4309 Bluebonnet Blvd Baton Rouge LA 70809
Phone: (225) 925-3140
Fax: (225) 223-6010
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 04294R Louisiana

Profile Details

NPI number 1518961952
LBN Legal business name Gruenwald, Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2005
Last updated Mar 1st, 2011 - about 15 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 1518961952 NPPES
Louisiana Other 13-00043 UNITED
Louisiana Other 690256 UNITED
Louisiana MEDICAID 1188506 UNITED

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