Musgrave, Charles A

Musgrave, Charles A is an individual health care provider with primary practice located at 2570 Nw Edenbower Blvd Suite 100, Roseburg OR 97471-6214. 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. Musgrave, Charles A can be contacted via phone (541) 957-1111.

Contact Information

Primary practice address
2570 Nw Edenbower Blvd Suite 100 Roseburg OR 97471-6214
Phone: (541) 957-1111
Fax: (541) 957-5705
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00770 Oregon

Profile Details

NPI number 1386617520
LBN Legal business name Musgrave, Charles A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Jan 28th, 2010 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1386617520 NPPES
Washington Other 0202220 IND INDUSTRIAL WA STATE
Washington Other J406426 IND INDUSTRIAL WA STATE

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