Lord, Charles J

Lord, Charles J is an individual health care provider with primary practice located at 419 Quincy Street , Rapid City SD 57701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Lord, Charles J can be contacted via phone (605) 348-6365.

Contact Information

Primary practice address
419 Quincy Street Rapid City SD 57701
Phone: (605) 348-6365
Fax: (605) 348-9408
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 2247 South Dakota

Profile Details

NPI number 1932273190
LBN Legal business name Lord, Charles J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2006
Last updated Jan 21st, 2010 - about 16 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 1932273190 NPPES
South Dakota MEDICAID 7100080

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