Mininger, Charles

Mininger, Charles is an individual health care provider with primary practice located at 2650 Ridge Ave , Evanston IL 60201-1718. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Mininger, Charles can be contacted via phone (847) 570-2000.

Contact Information

Primary practice address
2650 Ridge Ave Evanston IL 60201-1718
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085004089 Illinois

Profile Details

NPI number 1508146309
LBN Legal business name Mininger, Charles
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2011
Last updated Aug 25th, 2011 - about 14 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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