Jenks, Charles

Jenks, Charles is an individual health care provider with primary practice located at 106 Hammond Rd , Thiells NY 10984-1201. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Jenks, Charles can be contacted via phone (845) 942-3522.

Contact Information

Primary practice address
106 Hammond Rd Thiells NY 10984-1201
Phone: (845) 942-3522
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1831121136
LBN Legal business name Jenks, Charles
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Jul 8th, 2007 - about 18 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 1831121136 NPPES
New York Other 22 RESTORATIVE SERVICE PROVI

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