Kennedy Iii, Charles Thomas

Kennedy Iii, Charles Thomas is an individual health care provider with primary practice located at 1578 Easton Avenue , Bethlehem PA 18017. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Kennedy Iii, Charles Thomas can be contacted via phone (610) 866-4440.

Contact Information

Primary practice address
1578 Easton Avenue Bethlehem PA 18017
Phone: (610) 866-4440
Fax: (610) 866-5671
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC003479L Pennsylvania

Profile Details

NPI number 1710984216
LBN Legal business name Kennedy Iii, Charles Thomas
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Dec 13th, 2013 - about 11 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 1710984216 NPPES
Pennsylvania MEDICAID 0015429890005
Pennsylvania Other 0266570
Pennsylvania Other 00278910

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