Klein, Charles W.

Klein, Charles W. is an individual health care provider with primary practice located at 218 Quarterman St , Waycross GA 31501-3547. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Klein, Charles W. can be contacted via phone (912) 287-0301.

Contact Information

Primary practice address
218 Quarterman St Waycross GA 31501-3547
Phone: (912) 287-0301
Fax: (912) 287-0301
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 005819 Georgia

Profile Details

NPI number 1700105194
LBN Legal business name Klein, Charles W.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2010
Last updated Feb 24th, 2014 - about 10 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 1700105194 NPPES
Georgia MEDICAID 003103924D

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