Mcdonnell, Charles B

Mcdonnell, Charles B is an individual health care provider with primary practice located at 4800 Mexico Rd Suite 104, St Peters MO 63376-1666. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Mcdonnell, Charles B can be contacted via phone (636) 939-9540.

Contact Information

Primary practice address
4800 Mexico Rd Suite 104 St Peters MO 63376-1666
Phone: (636) 939-9540
Fax: (636) 939-9886
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 01008 Missouri
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 2251H1200X 9209001425 Missouri

Profile Details

NPI number 1427002476
LBN Legal business name Mcdonnell, Charles B
Credentials PT, CHT
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Sep 11th, 2012 - about 13 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 1427002476 NPPES
Missouri Other P00165252 RAILROAD MEDICARE

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