Seaberg, Charles Richard
Seaberg, Charles Richard is an sole proprietor health care provider with primary practice located at 111 Nw 24Th St , Fort Worth TX 76164-8544. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Seaberg, Charles Richard can be contacted via phone (817) 626-6401.Contact Information
Primary practice address
111 Nw 24Th St
Fort Worth TX 76164-8544
Phone: (817) 626-6401
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 3251 | Texas |
Profile Details
| NPI number | 1710227624 |
|---|---|
| LBN Legal business name | Seaberg, Charles Richard |
| Credentials | LCDC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 1st, 2013 |
| Last updated | Mar 1st, 2013 - about 13 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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