Owens, Charles Jerry

Owens, Charles Jerry is an sole proprietor health care provider with primary practice located at 2162 Wappoo Hall Rd , Charleston SC 29412-2059. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Owens, Charles Jerry can be contacted via phone (843) 795-0625.

Contact Information

Primary practice address
2162 Wappoo Hall Rd Charleston SC 29412-2059
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 4704 South Carolina

Profile Details

NPI number 1265494884
LBN Legal business name Owens, Charles Jerry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 6th, 2006
Last updated Feb 3rd, 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 1265494884 NPPES
South Carolina MEDICAID 047041

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