Charles, Sandra K

Charles, Sandra K is an individual health care provider with primary practice located at 935 Route 522 , Selinsgrove PA 17870-9714. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Charles, Sandra K can be contacted via phone (570) 372-6102.

Contact Information

Primary practice address
935 Route 522 Selinsgrove PA 17870-9714
Phone: (570) 372-6102
Fax: (570) 372-6110
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS008937L Pennsylvania

Profile Details

NPI number 1093734436
LBN Legal business name Charles, Sandra K
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated May 23rd, 2022 - about 4 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 1093734436 NPPES
Pennsylvania Other 118438702 DEPARTMENT OF LABOR
Pennsylvania MEDICAID 0016096200008 DEPARTMENT OF LABOR
Pennsylvania Other P00121999 DEPARTMENT OF LABOR
Pennsylvania Other 02185103 DEPARTMENT OF LABOR
Pennsylvania Other 232809429 DEPARTMENT OF LABOR
Pennsylvania Other G38215 DEPARTMENT OF LABOR
Pennsylvania Other 02185103 DEPARTMENT OF LABOR
Pennsylvania Other 15357C3AA DEPARTMENT OF LABOR
Pennsylvania Other 894313 DEPARTMENT OF LABOR

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