Bawcom, Charles Jay

Bawcom, Charles Jay is an individual health care provider with primary practice located at 1 Clinic Rd # 369 , Grand Canyon AZ 86023-0290. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Bawcom, Charles Jay can be contacted via phone (928) 638-2551.

Contact Information

Primary practice address
1 Clinic Rd # 369 Grand Canyon AZ 86023-0290
Phone: (928) 638-2551
Fax: (928) 638-2598
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 241530 Arizona

Profile Details

NPI number 1801419841
LBN Legal business name Bawcom, Charles Jay
Credentials APRN-RNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2020
Last updated May 26th, 2020 - about 6 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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