Rardin, Charles R
Rardin, Charles R is an individual health care provider with primary practice located at 101 Plain St , Providence RI 02903-4828. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery is his primary health care specialty. Rardin, Charles R can be contacted via phone (401) 453-7560.Contact Information
Primary practice address
101 Plain St
Providence RI 02903-4828
Phone: (401) 453-7560
Fax: (401) 453-7573
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD11196 | Rhode Island |
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery | 207VF0040X | MD11196 | Rhode Island |
Profile Details
NPI number | 1497788657 |
---|---|
LBN Legal business name | Rardin, Charles R |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 9th, 2006 |
Last updated | Feb 17th, 2023 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1497788657 | NPPES |
Rhode Island | MEDICAID | 1497788657 |
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