Line, Charles Genghis
Line, Charles Genghis is an individual health care provider with primary practice located at 6483 Citation Dr Suite B, Clarkston MI 48346-2994. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Line, Charles Genghis can be contacted via phone (248) 922-3074.Contact Information
Primary practice address
6483 Citation Dr Suite B
Clarkston MI 48346-2994
Phone: (248) 922-3074
Fax: (248) 922-3081
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0101241384 | Virginia |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301095854 | Michigan |
Profile Details
| NPI number | 1881818615 |
|---|---|
| LBN Legal business name | Line, Charles Genghis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2007 |
| Last updated | Dec 16th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881818615 | NPPES |
| Michigan | MEDICAID | 1881818615 |
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