Prather, Charles W

Prather, Charles W is an individual health care provider with primary practice located at 80 Sharron Ave , Plattsburgh NY 12901-4700. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Prather, Charles W can be contacted via phone (518) 561-1447.

Contact Information

Primary practice address
80 Sharron Ave Plattsburgh NY 12901-4700
Phone: (518) 561-1447
Fax: (518) 562-8812
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1528221447
LBN Legal business name Prather, Charles W
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2008
Last updated Jul 10th, 2008 - about 18 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 1528221447 NPPES
New York MEDICAID 01420800

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