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:
Health care specialties
| Specialty | Code | License # | 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 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306806013 | NPPES |
| Michigan | Other | 350F361320 | BCBSM |
| Michigan | MEDICAID | 6047247 | BCBSM |
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