Zeller, Charles J.

Zeller, Charles J. is an individual health care provider with primary practice located at 1045 Channingway Dr. , Fairborn OH 45324-9244. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Zeller, Charles J. can be contacted via phone (937) 878-8644.

Contact Information

Primary practice address
1045 Channingway Dr. Fairborn OH 45324-9244
Fax: (937) 878-8646
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34.002882 Ohio

Profile Details

NPI number 1114960820
LBN Legal business name Zeller, Charles J.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Apr 3rd, 2012 - about 14 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 1114960820 NPPES
Ohio MEDICAID 0627147

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