Main, Charles

Main, Charles is an individual health care provider with primary practice located at 3577 W 13 Mile Rd Ste. 101, Royal Oak MI 48073-6710. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as his primary health care specialty. Main, Charles can be contacted via phone (248) 551-0360.

Contact Information

Primary practice address
3577 W 13 Mile Rd Ste. 101 Royal Oak MI 48073-6710
Phone: (248) 551-0360
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X 4301029133 Michigan

Profile Details

NPI number 1306806013
LBN Legal business name Main, Charles
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2006
Last updated Oct 23rd, 2020 - about 5 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 1306806013 NPPES
Michigan Other 350F361320 BCBSM
Michigan MEDICAID 6047247 BCBSM

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