Jack, Charles

Jack, Charles is an sole proprietor health care provider with primary practice located at 5178 Parker Rd , Hamburg NY 14075. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Jack, Charles can be contacted via phone (716) 598-8827.

Contact Information

Primary practice address
5178 Parker Rd Hamburg NY 14075
Phone: (716) 598-8827
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 35SI00726500 New Jersey

Profile Details

NPI number 1376201772
LBN Legal business name Jack, Charles
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 2nd, 2021
Last updated Nov 24th, 2023 - about last year

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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