Gunnerson, Charles
Gunnerson, Charles is an sole proprietor health care provider with primary practice located at 200 Commodore St , Pratt KS 67124-2903. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Gunnerson, Charles can be contacted via phone (620) 672-7451.Contact Information
Primary practice address
200 Commodore St
Pratt KS 67124-2903
Phone: (620) 672-7451
Fax: (316) 652-0340
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 54035 | Kansas |
Profile Details
NPI number | 1255308425 |
---|---|
LBN Legal business name | Gunnerson, Charles |
Credentials | Certified Registered Nurse Anesthetist (CRNA) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 7th, 2006 |
Last updated | Nov 7th, 2011 - about 14 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 | 1255308425 | NPPES |
Oklahoma | MEDICAID | 200018780A | |
Oklahoma | MEDICAID | 100252430B | |
Oklahoma | Other | 057054 |
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