Vernon, Charles B

Vernon, Charles B is an individual health care provider with primary practice located at 1791 Highway 64 E , Anamosa IA 52205-2112. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Vernon, Charles B can be contacted via phone (319) 462-3571.

Contact Information

Primary practice address
1791 Highway 64 E Anamosa IA 52205-2112
Phone: (319) 462-3571
Fax: (319) 462-6043
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 24257 Iowa
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 24257 Iowa

Profile Details

NPI number 1225016009
LBN Legal business name Vernon, Charles B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated May 16th, 2012 - about 12 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 1225016009 NPPES
Iowa Other 080116811 RR MEDICARE
Iowa MEDICAID 3019570 RR MEDICARE
Iowa MEDICAID 1225016009 RR MEDICARE

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