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:
Health care specialties
| Specialty | Code | License # | 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 13 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 | 1518961952 | NPPES |
| Louisiana | Other | 13-00043 | UNITED |
| Louisiana | Other | 690256 | UNITED |
| Louisiana | MEDICAID | 1188506 | UNITED |
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