Stern, Charles A
Stern, Charles A is an individual health care provider with primary practice located at 1350 S Hickory St , Melbourne FL 32901-3278. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Stern, Charles A can be contacted via phone (321) 434-7313.Contact Information
Primary practice address
1350 S Hickory St
Melbourne FL 32901-3278
Phone: (321) 434-7313
Fax: (321) 434-7238
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ME 13445 | Georgia |
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | ME13445 | Florida |
Profile Details
NPI number | 1871593848 |
---|---|
LBN Legal business name | Stern, Charles A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 29th, 2005 |
Last updated | Jun 25th, 2008 - about 16 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 | 1871593848 | NPPES |
Florida | MEDICAID | 268483700 |
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