Genrich, Charles William
Genrich, Charles William is an sole proprietor health care provider with primary practice located at 4830 Saint Paul Ave , Lincoln NE 68504-2661. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Genrich, Charles William can be contacted via phone (402) 466-2211.Contact Information
Primary practice address
4830 Saint Paul Ave
Lincoln NE 68504-2661
Phone: (402) 466-2211
Fax: (402) 466-3286
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 5148 | Nebraska |
Profile Details
| NPI number | 1679616999 |
|---|---|
| LBN Legal business name | Genrich, Charles William |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 15th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1679616999 | NPPES |
| Nebraska | MEDICAID | 47-079002700 |
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