Winslow, Charles S

Winslow, Charles S is an individual health care provider with primary practice located at 200 Jefferson Ave Se Nicu, Grand Rapids MI 49503-4502. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Winslow, Charles S can be contacted via phone (616) 752-6902.

Contact Information

Primary practice address
200 Jefferson Ave Se Nicu Grand Rapids MI 49503-4502
Phone: (616) 752-6902
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301048835 Michigan
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 4301048835 Michigan

Profile Details

NPI number 1629094412
LBN Legal business name Winslow, Charles S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Jul 8th, 2007 - about 17 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 1629094412 NPPES
Michigan MEDICAID 3473236
Michigan MEDICAID 4877975

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