Herndon, Charles Michael

Herndon, Charles Michael is an individual health care provider with primary practice located at 3760 Piper St Suite 1108, Anchorage AK 99508-4683. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Herndon, Charles Michael can be contacted via phone (907) 212-6970.

Contact Information

Primary practice address
3760 Piper St Suite 1108 Anchorage AK 99508-4683
Phone: (907) 212-6970
Fax: (907) 212-6971
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 2370 Alaska

Profile Details

NPI number 1326062431
LBN Legal business name Herndon, Charles Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Sep 30th, 2020 - about 5 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 1326062431 NPPES
Alaska MEDICAID 1007300

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