Haendel, Charles R

Haendel, Charles R is an sole proprietor health care provider with primary practice located at 55 Whitcher St Ne Ste 450, Marietta GA 30060-1155. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Haendel, Charles R can be contacted via phone (770) 590-4188.

Contact Information

Primary practice address
55 Whitcher St Ne Ste 450 Marietta GA 30060-1155
Phone: (770) 590-4188
Fax: (770) 590-4189
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X POD000583 Georgia
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X POD000583 Georgia

Profile Details

NPI number 1124002050
LBN Legal business name Haendel, Charles R
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2005
Last updated Apr 18th, 2014 - about 10 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 1124002050 NPPES
Georgia MEDICAID 000377869G
Georgia Other 024633
Georgia Other 0575829

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