Latendresse, Charles J
Latendresse, Charles J is an sole proprietor health care provider with primary practice located at 1506 G Ave , Grundy Center IA 50638-1038. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Latendresse, Charles J can be contacted via phone (319) 824-3181.Contact Information
Primary practice address
1506 G Ave
Grundy Center IA 50638-1038
Phone: (319) 824-3181
Fax: (319) 824-6680
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 21831 | Iowa |
Profile Details
| NPI number | 1245227743 |
|---|---|
| LBN Legal business name | Latendresse, Charles J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 30th, 2005 |
| Last updated | Oct 14th, 2016 - about 10 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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