Charles, Larry S

Charles, Larry S is an sole proprietor health care provider with primary practice located at 795 White Horse Pike Suite B, Haddon Township NJ 08107-1264. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Nursing Service Related Providers / Nurse's Aide. Nursing Service Related Providers / Nurse's Aide is his primary health care specialty. Charles, Larry S can be contacted via phone (215) 207-4089.

Contact Information

Primary practice address
795 White Horse Pike Suite B Haddon Township NJ 08107-1264
Phone: (215) 207-4089
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Nursing Service Related Providers / Nurse's Aide 376K00000X NA200011057 New Jersey

Profile Details

NPI number 1225448988
LBN Legal business name Charles, Larry S
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2014
Last updated May 4th, 2014 - about 12 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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