Hamilton, Charlene I

Hamilton, Charlene I is an individual health care provider with primary practice located at 750 E Beltline Ave Ne Ste 202, Grand Rapids MI 49525-6046. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Hamilton, Charlene I can be contacted via phone (616) 949-2600.

Contact Information

Primary practice address
750 E Beltline Ave Ne Ste 202 Grand Rapids MI 49525-6046
Phone: (616) 949-2600
Fax: (616) 954-0213
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4901003238 Michigan

Profile Details

NPI number 1366446973
LBN Legal business name Hamilton, Charlene I
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated Jun 9th, 2008 - about 16 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 1366446973 NPPES
Michigan MEDICAID 4261079
Michigan Other 900D16683
Michigan Other 410043591

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