Ketcham, Charles Wesley
Ketcham, Charles Wesley is an sole proprietor health care provider with primary practice located at 228 Lombard St Ste C , Thousand Oaks CA 91360-8202. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Ketcham, Charles Wesley can be contacted via phone (805) 496-3209.Contact Information
Primary practice address
228 Lombard St Ste C
Thousand Oaks CA 91360-8202
Phone: (805) 496-3209
Fax: (805) 496-0351
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 23839 | California |
Profile Details
| NPI number | 1174667216 |
|---|---|
| LBN Legal business name | Ketcham, Charles Wesley |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 19th, 2007 |
| Last updated | Jul 8th, 2007 - 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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