Hanby, Charles Albert

Hanby, Charles Albert is an sole proprietor health care provider with primary practice located at 2707 W Huntsville Ave , Springdale AR 72762-7723. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Hanby, Charles Albert can be contacted via phone (479) 756-8631.

Contact Information

Primary practice address
2707 W Huntsville Ave Springdale AR 72762-7723
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2082 Arkansas

Profile Details

NPI number 1760562565
LBN Legal business name Hanby, Charles Albert
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760562565 NPPES
Arkansas Other 1303179 UNITED CONCORDIA
Arkansas Other 58250 UNITED CONCORDIA
Arkansas Other 2082 UNITED CONCORDIA

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