Lastrapes, Charles J

Lastrapes, Charles J is an individual health care provider with primary practice located at 408 S Broadview St , Cape Girardeau MO 63703-5725. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lastrapes, Charles J can be contacted via phone (573) 332-0808.

Contact Information

Primary practice address
408 S Broadview St Cape Girardeau MO 63703-5725
Phone: (573) 332-0808
Fax: (573) 339-7945
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DO112343 Missouri

Profile Details

NPI number 1760483036
LBN Legal business name Lastrapes, Charles J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Jun 10th, 2011 - about 14 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 1760483036 NPPES
Missouri MEDICAID 1760483036

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