Kistler, Charles Aaron

Kistler, Charles Aaron is an sole proprietor health care provider with primary practice located at 59 Executive Park S Ste 1100 , Atlanta GA 30329-2208. 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. Kistler, Charles Aaron can be contacted via phone (404) 778-6330.

Contact Information

Primary practice address
59 Executive Park S Ste 1100 Atlanta GA 30329-2208
Phone: (404) 778-6330
Fax: (404) 778-6370
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT002443 Georgia

Profile Details

NPI number 1275057986
LBN Legal business name Kistler, Charles Aaron
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2017
Last updated Aug 3rd, 2017 - about 8 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 1275057986 NPPES
Georgia Other AT002443 ATC LICENSE

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