Pshaenich, Charles H

Pshaenich, Charles H is an sole proprietor health care provider with primary practice located at 1400 S Dobson Rd , Mesa AZ 85202-4707. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Pshaenich, Charles H can be contacted via phone (480) 456-9500.

Contact Information

Primary practice address
1400 S Dobson Rd Mesa AZ 85202-4707
Fax: (480) 820-7623
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 25570 Arizona

Profile Details

NPI number 1023093085
LBN Legal business name Pshaenich, Charles H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2005
Last updated Jul 10th, 2012 - about 12 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 1023093085 NPPES
Arizona MEDICAID 401349

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