Charrier, Charles Anthony

Charrier, Charles Anthony is an sole proprietor health care provider with primary practice located at 11830 S Komensky Ave Apt 3B , Alsip IL 60803-1658. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Charrier, Charles Anthony can be contacted via phone (708) 264-2240.

Contact Information

Primary practice address
11830 S Komensky Ave Apt 3B Alsip IL 60803-1658
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1952017154
LBN Legal business name Charrier, Charles Anthony
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2023
Last updated Jan 31st, 2023 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1952017154 NPPES
Illinois MEDICAID 172616807

Popular Providers