Jennings, Charles D

Jennings, Charles D is an individual health care provider with primary practice located at 500 15Th Ave S Suite 1, Great Falls MT 59405-4324. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Jennings, Charles D can be contacted via phone (406) 455-3650.

Contact Information

Primary practice address
500 15Th Ave S Suite 1 Great Falls MT 59405-4324
Phone: (406) 455-3650
Fax: (406) 455-3695
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 3805 Montana

Profile Details

NPI number 1023045226
LBN Legal business name Jennings, Charles D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated May 28th, 2008 - about 17 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 1023045226 NPPES
Montana Other 020013476 RAILROAD MEDICARE
Montana MEDICAID 0019201 RAILROAD MEDICARE
Montana Other 184609700 RAILROAD MEDICARE
Montana Other 000000780 RAILROAD MEDICARE
Montana Other 0012575 RAILROAD MEDICARE

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