Grado, Charles Everett

Grado, Charles Everett is an sole proprietor health care provider with primary practice located at 3705 River Ridge Dr Ne , Cedar Rapids IA 52402-7596. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Grado, Charles Everett can be contacted via phone (319) 393-1902.

Contact Information

Primary practice address
3705 River Ridge Dr Ne Cedar Rapids IA 52402-7596
Phone: (319) 393-1902
Fax: (319) 393-1867
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 24782 Iowa

Profile Details

NPI number 1710988217
LBN Legal business name Grado, Charles Everett
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2005
Last updated Dec 1st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710988217 NPPES
Iowa MEDICAID 0229138

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