Charles, David R.

Charles, David R. is an sole proprietor health care provider with primary practice located at 5405 N Knoxville Ave , Peoria IL 61614-5016. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Charles, David R. can be contacted via phone (309) 691-4410.

Contact Information

Primary practice address
5405 N Knoxville Ave Peoria IL 61614-5016
Phone: (309) 691-4410
Fax: (309) 692-4730
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 036128090 Illinois
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 25MB08007300 New Jersey
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036128090 Illinois

Profile Details

NPI number 1841499902
LBN Legal business name Charles, David R.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2007
Last updated Jan 21st, 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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