Kish, Charles

Kish, Charles is an individual health care provider with primary practice located at 1019 S Broad St , Lansdale PA 19446-5338. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kish, Charles can be contacted via phone (215) 361-5090.

Contact Information

Primary practice address
1019 S Broad St Lansdale PA 19446-5338
Fax: (215) 412-4296
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS005561L Pennsylvania

Profile Details

NPI number 1194788471
LBN Legal business name Kish, Charles
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2006
Last updated Apr 19th, 2012 - about 12 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 1194788471 NPPES
Pennsylvania MEDICAID 0010603170001

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