Active NPIIndividual providerSole proprietor

Mr. Larry S Charles Jr.

Nurse's Aide in Haddon Township, New Jersey

NPI Number1225448988
Practice location
795 White Horse Pike, Suite B, Haddon Township, NJ 08107-1264
Fax
—
Last updated
May 4, 2014

Larry S Charles is a Nurse's Aide based in Haddon Township, NJ. Larry S Charles practices in Haddon Township, NJ. The NPI Number for Larry S Charles is 1225448988 and holds a License No. NA200011057 (NJ). The current practice location address for Larry S Charles is 795 White Horse Pike, Suite B, Haddon Township, NJ 08107-1264 and can be reached out via phone at 215-207-4089.

Provider Profile Details

NPI Number
1225448988
Provider Name
Larry S Charles
Provider Entity Type
Individual
Gender
Male
Address
795 White Horse Pike, Suite B, Haddon Township, NJ 08107-1264
Phone Number
215-207-4089
Primary Taxonomy
Nurse's Aide · 376K00000X
Sole Proprietor
Yes
Provider Enumeration Date
May 4, 2014
Last Update Date
May 4, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
795 White Horse Pike
Suite B
Haddon Township, NJ 08107-1264
Zip
08107-1264
Phone Number
215-207-4089
Haddon Township, NJ 08107Get directions →

Provider Business Mailing Address Details

Address
795 White Horse Pike
Suite B
Haddon Township, NJ 08107-1264
City
Haddon Township
State
NJ
Zip
08107-1264
Phone Number
215-207-4089

License Information

Taxonomy (1)
Counselor · 101Y00000X
Taxonomy (2)
Counselor, Mental Health · 101YM0800X
License Number (3)
NA200011057
License State (3)
NJ
Taxonomy (3)
Nurse's Aide · 376K00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Larry S Charles Jr.?

The NPI number of Mr. Larry S Charles Jr. is 1225448988. It was assigned on May 4, 2014 and is currently active in the NPPES registry.

What is the specialty of Mr. Larry S Charles Jr.?

Mr. Larry S Charles Jr. is registered under the primary taxonomy Nurse's Aide (code 376K00000X), licensed in NJ under license number NA200011057.

Where does Mr. Larry S Charles Jr. practice?

The practice location is 795 White Horse Pike, Suite B, Haddon Township, NJ 08107-1264. The office can be reached at 215-207-4089 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1225448988 directly on the NPPES registry website.

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