Matthews, Charles Odell
Matthews, Charles Odell is an individual health care provider with primary practice located at 12909 N 56Th St Ste 203 , Tampa FL 33617-1274. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Matthews, Charles Odell can be contacted via phone (813) 985-0900.Contact Information
Primary practice address
12909 N 56Th St Ste 203
Tampa FL 33617-1274
Phone: (813) 985-0900
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY6713 | Florida |
Profile Details
NPI number | 1356393714 |
---|---|
LBN Legal business name | Matthews, Charles Odell |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 16th, 2006 |
Last updated | Mar 17th, 2009 - about 15 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 | 1356393714 | NPPES |
Florida | Other | 75019 | BLUECROSS BLUESHIELD# -FL |
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