Beckett, Charles Stephen

Beckett, Charles Stephen is an individual health care provider with primary practice located at 85 Donohoe Dr , Huntington WV 25705-8887. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Beckett, Charles Stephen can be contacted via phone (304) 781-5159.

Contact Information

Primary practice address
85 Donohoe Dr Huntington WV 25705-8887
Phone: (304) 781-5159
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 2113 West Virginia

Profile Details

NPI number 1538163597
LBN Legal business name Beckett, Charles Stephen
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2005
Last updated May 16th, 2024 - about 2 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 1538163597 NPPES
Ohio MEDICAID 2878391
Ohio MEDICAID 0134497000
Ohio MEDICAID 7100213020

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