Upchurch, Charles Luther

Upchurch, Charles Luther is an individual health care provider with primary practice located at 121 E 2Nd St , Beardstown IL 62618-1263. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Upchurch, Charles Luther can be contacted via phone (217) 323-2980.

Contact Information

Primary practice address
121 E 2Nd St Beardstown IL 62618-1263
Phone: (217) 323-2980
Fax: (217) 323-3731
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1013400092
LBN Legal business name Upchurch, Charles Luther
Credentials RSA
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2018
Last updated Jun 13th, 2018 - about 6 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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