Writer, Charlotte D

Writer, Charlotte D is an individual health care provider with primary practice located at 1162 Willamette St , Eugene OR 97401-3568. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Writer, Charlotte D can be contacted via phone (541) 687-6373.

Contact Information

Primary practice address
1162 Willamette St Eugene OR 97401-3568
Phone: (541) 687-6373
Fax: (541) 434-3164
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X Oregon

Profile Details

NPI number 1891730016
LBN Legal business name Writer, Charlotte D
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2006
Last updated Nov 6th, 2007 - about 18 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 1891730016 NPPES
Oregon MEDICAID 071634

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