Fletcher, Charles Michael
Fletcher, Charles Michael is an individual health care provider with primary practice located at 1817 Executive Sq , Jonesboro AR 72401-6086. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Fletcher, Charles Michael can be contacted via phone (870) 930-9200.Contact Information
Primary practice address
1817 Executive Sq
Jonesboro AR 72401-6086
Phone: (870) 930-9200
Fax: (870) 930-9120
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2392 | Arkansas |
Profile Details
| NPI number | 1518932730 |
|---|---|
| LBN Legal business name | Fletcher, Charles Michael |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2006 |
| Last updated | May 11th, 2010 - about 15 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 | 1518932730 | NPPES |
| Arkansas | MEDICAID | 119413722 |
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