Minnis, Charmaine R

Minnis, Charmaine R is an individual health care provider with primary practice located at 123 E Johnson Ave , Chelan WA 98816. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Minnis, Charmaine R can be contacted via phone (509) 682-4713.

Contact Information

Primary practice address
123 E Johnson Ave Chelan WA 98816
Phone: (509) 682-4713
Fax: (509) 682-3218
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 025208 PT00006114 Washington

Profile Details

NPI number 1912988924
LBN Legal business name Minnis, Charmaine R
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Jan 30th, 2014 - 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 1912988924 NPPES
Washington MEDICAID 8335622
Washington Other 161721

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