Cassady, Charles L

Cassady, Charles L is an individual health care provider with primary practice located at 13221 Ravenna Rd , Chardon OH 44024-9047. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Cassady, Charles L can be contacted via phone (440) 286-9421.

Contact Information

Primary practice address
13221 Ravenna Rd Chardon OH 44024-9047
Fax: (440) 286-9431
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 35025025 Ohio

Profile Details

NPI number 1689674913
LBN Legal business name Cassady, Charles L
Credentials Doctor of Medicine (MD)
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 1689674913 NPPES
Ohio MEDICAID 0095016

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