Charles, Jean Claude
Charles, Jean Claude is an sole proprietor health care provider with primary practice located at 68 Belmont Ave , Brooklyn NY 11212-6705. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Charles, Jean Claude can be contacted via phone (718) 484-8056.Contact Information
Primary practice address
68 Belmont Ave
Brooklyn NY 11212-6705
Phone: (718) 484-8056
Fax: (718) 484-8325
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 199884 | New York |
| Other Service Providers / Specialist | 174400000X | 199884 | New York |
Profile Details
| NPI number | 1790782969 |
|---|---|
| LBN Legal business name | Charles, Jean Claude |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 3rd, 2005 |
| Last updated | Apr 9th, 2021 - about 5 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 | 1790782969 | NPPES |
| New York | MEDICAID | 01598874 | |
| New York | Other | 199884 |
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