Featherly, Charles A.
Featherly, Charles A. is an individual health care provider with primary practice located at 100 Mercy Way , Joplin MO 64804-4524. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Featherly, Charles A. can be contacted via phone (417) 556-2300.Contact Information
Primary practice address
100 Mercy Way
Joplin MO 64804-4524
Phone: (417) 556-2300
Fax: (417) 556-3625
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | R8J05 | Missouri |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | R8J05 | Missouri |
Profile Details
| NPI number | 1194762542 |
|---|---|
| LBN Legal business name | Featherly, Charles A. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2006 |
| Last updated | Apr 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194762542 | NPPES |
| Kansas | MEDICAID | 100234560E | |
| Kansas | MEDICAID | 242744415 | |
| Kansas | MEDICAID | 100113400A |
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