Bou, Charles

Bou, Charles is an individual health care provider with primary practice located at 707 E Main St , Middletown NY 10940. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Bou, Charles can be contacted via phone (845) 333-1445.

Contact Information

Primary practice address
707 E Main St Middletown NY 10940
Phone: (845) 333-1445
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 142072 New York

Profile Details

NPI number 1023091493
LBN Legal business name Bou, Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Aug 14th, 2015 - about 11 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 1023091493 NPPES
New York Other P01229245 RAILROAD MEDICARE
New York MEDICAID 01543302 RAILROAD MEDICARE
New York MEDICAID 00543302 RAILROAD MEDICARE

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