Brown, Charles K
Brown, Charles K is an individual health care provider with primary practice located at 3165 Green Valley Rd , Birmingham AL 35243-5262. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Brown, Charles K can be contacted via phone (205) 967-2103.Contact Information
Primary practice address
3165 Green Valley Rd
Birmingham AL 35243-5262
Phone: (205) 967-2103
Fax: (205) 967-2119
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | S462TA018 | Alabama |
Profile Details
| NPI number | 1588652242 |
|---|---|
| LBN Legal business name | Brown, Charles K |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 7th, 2005 |
| Last updated | Feb 20th, 2008 - 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 | 1588652242 | NPPES |
| Alabama | MEDICAID | 000030624 |
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