Huston, Charles Clover

Huston, Charles Clover is an individual health care provider with primary practice located at 116 Central Ave , Oil City PA 16301-2736. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Huston, Charles Clover can be contacted via phone (814) 676-0848.

Contact Information

Primary practice address
116 Central Ave Oil City PA 16301-2736
Fax: (814) 677-1289
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD024985E Pennsylvania
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MD024985E Pennsylvania

Profile Details

NPI number 1962478602
LBN Legal business name Huston, Charles Clover
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated May 17th, 2013 - about 12 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 1962478602 NPPES
Pennsylvania MEDICAID 0008098500003

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