Adams, Charles Morris

Adams, Charles Morris is an individual health care provider with primary practice located at 320 Kirkwood Ave , Iowa City IA 52240-4754. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Adams, Charles Morris can be contacted via phone (319) 351-6654.

Contact Information

Primary practice address
320 Kirkwood Ave Iowa City IA 52240-4754
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 00051 Iowa

Profile Details

NPI number 1215937594
LBN Legal business name Adams, Charles Morris
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Jul 8th, 2007 - about 15 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 1215937594 NPPES
Iowa Other 01871 BLUE CROSS/ BLUE SHIELD O
Iowa MEDICAID 421501340YIR3P8 BLUE CROSS/ BLUE SHIELD O

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