Magnuson, Charles Wesley

Magnuson, Charles Wesley is an sole proprietor health care provider with primary practice located at 1331 Chimes Blvd , South Bend IN 46615-3549. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Magnuson, Charles Wesley can be contacted via phone (574) 232-2047.

Contact Information

Primary practice address
1331 Chimes Blvd South Bend IN 46615-3549
Fax: (574) 232-3252
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X IN8114 Indiana

Profile Details

NPI number 1578695086
LBN Legal business name Magnuson, Charles Wesley
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 10th, 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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