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MR. CHARLES MICHAEL CROW
Personal Care Attendant >> Technician >> Nursing Service Related ProvidersRegistrant NPI Number: 1033701420
Individual Registrant:MR. CHARLES MICHAEL CROW
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
10098 FORK RIDGE RD GLEN EASTON, WV 26039-1420 US
Tel: 304-845-5719 Fax: --
Tel: 304-845-5719 Fax: --
Contact information for business:
10098 FORK RIDGE RD GLEN EASTON, WV 26039-1420 US
Tel: 304-845-5719 Fax: --
Tel: 304-845-5719 Fax: --
Registration Information:
NPI: 1033701420
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 3747P1801X | Nursing Service Related Providers Technician Personal Care Attendant |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
