Jim, Charles

Jim, Charles is an sole proprietor health care provider with primary practice located at 4611 216Th St , Bayside NY 11361-3452. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Jim, Charles can be contacted via phone (917) 535-9921.

Contact Information

Primary practice address
4611 216Th St Bayside NY 11361-3452
Phone: (917) 535-9921
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 084231-1 New York

Profile Details

NPI number 1124463880
LBN Legal business name Jim, Charles
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 7th, 2013
Last updated May 7th, 2013 - about 13 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.

Request for update

Popular Providers