Krall, Charles Anthony

Krall, Charles Anthony is an sole proprietor health care provider with primary practice located at 426 W 14Th St , Chanute KS 66720-2878. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Krall, Charles Anthony can be contacted via phone (620) 423-0033.

Contact Information

Primary practice address
426 W 14Th St Chanute KS 66720-2878
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X LP536 Kansas

Profile Details

NPI number 1710033642
LBN Legal business name Krall, Charles Anthony
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2007
Last updated Jul 8th, 2007 - about 18 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 1710033642 NPPES
Kansas Other 119835 BLUE CROSS BLUE SHIELD
Kansas Other 255787 BLUE CROSS BLUE SHIELD
Kansas Other 073979 BLUE CROSS BLUE SHIELD
Kansas Other 119710 BLUE CROSS BLUE SHIELD

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