Rardin, Charles R

Rardin, Charles R is an individual health care provider with primary practice located at 101 Plain St , Providence RI 02903-4828. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery is his primary health care specialty. Rardin, Charles R can be contacted via phone (401) 453-7560.

Contact Information

Primary practice address
101 Plain St Providence RI 02903-4828
Phone: (401) 453-7560
Fax: (401) 453-7573
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD11196 Rhode Island
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 207VF0040X MD11196 Rhode Island

Profile Details

NPI number 1497788657
LBN Legal business name Rardin, Charles R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2006
Last updated Feb 17th, 2023 - about 3 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 1497788657 NPPES
Rhode Island MEDICAID 1497788657

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