Nelton, Charles R

Nelton, Charles R is an sole proprietor health care provider with primary practice located at 340 Legion Dr Ste 28 , Lexington KY 40504-2716. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Nelton, Charles R can be contacted via phone (513) 834-7063.

Contact Information

Primary practice address
340 Legion Dr Ste 28 Lexington KY 40504-2716
Phone: (513) 834-7063
Fax: (513) 873-1567
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 1182 Kentucky
Behavioral Health & Social Service Providers / Professional 101YP2500X 103018 Kentucky

Profile Details

NPI number 1972653772
LBN Legal business name Nelton, Charles R
Credentials LPCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 12th, 2007
Last updated Jul 13th, 2021 - about 3 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 1972653772 NPPES
Kentucky MEDICAID 30615058
Kentucky MEDICAID 7100659170

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