Underwood, Charles

Underwood, Charles is an sole proprietor health care provider with primary practice located at 252 Milpass Dr , Holly Springs NC 27540-9651. He recently has 11 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Addiction (Substance Use Disorder), Nursing Service Providers / Community Health, Nursing Service Providers / Diabetes Educator, Nursing Service Providers / Gerontology, Nursing Service Providers / Home Health, Nursing Service Providers / Medical-Surgical, Nursing Service Providers / Pain Management, Nursing Service Providers / Psychiatric/Mental Health, Nursing Service Providers / Psychiatric/Mental Health, Adult, Nursing Service Providers / Wound Care. Nursing Service Providers / Registered Nurse is his primary health care specialty. Underwood, Charles can be contacted via phone (919) 552-4837.

Contact Information

Primary practice address
252 Milpass Dr Holly Springs NC 27540-9651
Fax: (919) 552-4837
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 220129 North Carolina
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X 535250 New York
Nursing Service Providers / Community Health 163WC1500X 220129 North Carolina
Nursing Service Providers / Diabetes Educator 163WD0400X 535250 New York
Nursing Service Providers / Gerontology 163WG0600X 220129 North Carolina
Nursing Service Providers / Gerontology 163WG0600X 535250 New York
Nursing Service Providers / Home Health 163WH0200X 220129 North Carolina
Nursing Service Providers / Home Health 163WH0200X 535250 New York
Nursing Service Providers / Medical-Surgical 163WM0705X 220129 North Carolina
Nursing Service Providers / Medical-Surgical 163WM0705X 535250 New York
Nursing Service Providers / Pain Management 163WP0000X 220129 North Carolina
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 220129 North Carolina
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 220129 North Carolina
Nursing Service Providers / Wound Care 163WW0000X 220129 North Carolina
Nursing Service Providers / Wound Care 163WW0000X 535250 New York

Profile Details

NPI number 1932335676
LBN Legal business name Underwood, Charles
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2009
Last updated Jun 9th, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932335676 NPPES
New York MEDICAID 02109066

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