Ragona, Charles P.

Ragona, Charles P. is an individual health care provider with primary practice located at 101 W University Ave , Champaign IL 61820-3909. 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. Ragona, Charles P. can be contacted via phone (217) 366-6212.

Contact Information

Primary practice address
101 W University Ave Champaign IL 61820-3909
Phone: (217) 366-6212
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085001155 Illinois

Profile Details

NPI number 1588672984
LBN Legal business name Ragona, Charles P.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Jun 18th, 2008 - about 17 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 1588672984 NPPES
Other 970024573 RAILROAD MEDICARE
Other 434110 RAILROAD MEDICARE

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