Terry, Charles Edward

Terry, Charles Edward is an individual health care provider with primary practice located at 6 N Main St Ste 110 , Fairport NY 14450-1581. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Terry, Charles Edward can be contacted via phone (585) 377-6590.

Contact Information

Primary practice address
6 N Main St Ste 110 Fairport NY 14450-1581
Phone: (585) 377-6590
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X New York

Profile Details

NPI number 1215683313
LBN Legal business name Terry, Charles Edward
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2022
Last updated Feb 28th, 2022 - about 3 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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