Lentz, Charles

Lentz, Charles is an individual health care provider with primary practice located at 700 Fourmile Pkwy , Canon City CO 81212-9114. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Lentz, Charles can be contacted via phone (719) 276-7500.

Contact Information

Primary practice address
700 Fourmile Pkwy Canon City CO 81212-9114
Phone: (719) 276-7500
Fax: (719) 276-6961
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2529 Colorado

Profile Details

NPI number 1104023878
LBN Legal business name Lentz, Charles
Credentials MA, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2007
Last updated Jul 9th, 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 1104023878 NPPES
Colorado MEDICAID 72406259

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