Line, Charles Genghis

Line, Charles Genghis is an individual health care provider with primary practice located at 6483 Citation Dr Suite B, Clarkston MI 48346-2994. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Line, Charles Genghis can be contacted via phone (248) 922-3074.

Contact Information

Primary practice address
6483 Citation Dr Suite B Clarkston MI 48346-2994
Phone: (248) 922-3074
Fax: (248) 922-3081
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101241384 Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301095854 Michigan

Profile Details

NPI number 1881818615
LBN Legal business name Line, Charles Genghis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2007
Last updated Dec 16th, 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 1881818615 NPPES
Michigan MEDICAID 1881818615

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