Kohout, Charles William

Kohout, Charles William is an individual health care provider with primary practice located at 6636 Main St Suite5, Williamsville NY 14221-5967. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Kohout, Charles William can be contacted via phone (716) 633-4747.

Contact Information

Primary practice address
6636 Main St Suite5 Williamsville NY 14221-5967
Phone: (716) 633-4747
Fax: (716) 633-0328
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 034924 New York

Profile Details

NPI number 1972673598
LBN Legal business name Kohout, Charles William
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1972673598 NPPES
New York MEDICAID 01992378

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