Medbery, Charles Henley

Medbery, Charles Henley is an individual health care provider with primary practice located at 401 Woodland Hills Blvd , Fort Scott KS 66701-8797. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Medbery, Charles Henley can be contacted via phone (620) 223-2200.

Contact Information

Primary practice address
401 Woodland Hills Blvd Fort Scott KS 66701-8797
Phone: (620) 223-2200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 04-28353 Kansas
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 107212 Missouri

Profile Details

NPI number 1528063609
LBN Legal business name Medbery, Charles Henley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Aug 22nd, 2013 - about 11 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 1528063609 NPPES
Kansas Other P00173775 RR MEDICARE
Kansas MEDICAID 100171060C RR MEDICARE
Kansas MEDICAID 207821547 RR MEDICARE

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