Roesel, Charles Michael

Roesel, Charles Michael is an individual health care provider with primary practice located at 209 Moller Ave , Sitka AK 99835-7142. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Roesel, Charles Michael can be contacted via phone (907) 747-1722.

Contact Information

Primary practice address
209 Moller Ave Sitka AK 99835-7142
Phone: (907) 747-1722
Fax: (907) 747-1755
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD20793 Oregon
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3878 Alaska

Profile Details

NPI number 1124003389
LBN Legal business name Roesel, Charles Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Dec 22nd, 2017 - about 7 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 1124003389 NPPES
Alaska MEDICAID 1575790

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