Khalil, Charles M

Khalil, Charles M is an individual health care provider with primary practice located at 22770 Kelly Rd #3, Eastpointe MI 48021-2009. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Khalil, Charles M can be contacted via phone (586) 447-4900.

Contact Information

Primary practice address
22770 Kelly Rd #3 Eastpointe MI 48021-2009
Phone: (586) 447-4900
Fax: (586) 447-0024
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X CK001653 Michigan

Profile Details

NPI number 1821127564
LBN Legal business name Khalil, Charles M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated Oct 10th, 2011 - about 13 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 1821127564 NPPES
Michigan Other CK001653 LICENCE
Michigan Other 061549240 LICENCE
Michigan Other 4855050810 LICENCE

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