Zachem, Charles Russell
Zachem, Charles Russell is an individual health care provider with primary practice located at 4110 Warrensville Center Rd , Beachwood OH 44122-7024. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Zachem, Charles Russell can be contacted via phone (216) 491-6000.Contact Information
Primary practice address
4110 Warrensville Center Rd
Beachwood OH 44122-7024
Phone: (216) 491-6000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 34001402Z | Ohio |
Profile Details
| NPI number | 1053440669 |
|---|---|
| LBN Legal business name | Zachem, Charles Russell |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 2nd, 2007 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053440669 | NPPES |
| Ohio | MEDICAID | 56031 |
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