Smith, Charles

Smith, Charles is an individual health care provider with primary practice located at 99 Navaho Ave Ste 103 , Mankato MN 56001-4877. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Smith, Charles can be contacted via phone (507) 386-1025.

Contact Information

Primary practice address
99 Navaho Ave Ste 103 Mankato MN 56001-4877
Phone: (507) 386-1025
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 2781 Minnesota

Profile Details

NPI number 1538687728
LBN Legal business name Smith, Charles
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2017
Last updated Sep 7th, 2017 - about 8 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 1538687728 NPPES
Minnesota MEDICAID 2781

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