Mr Larry S Charles Jr, is a
Nurse's Aide based in Haddon Township, New Jersey. Mr Larry S Charles Jr is licensed to practice in New Jersey (license number NA200011057) and his current practice location is
795 White Horse Pike, Suite B, Haddon Township, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(215) 207-4089.
NPI number for Mr Larry S Charles Jr is 1225448988 and his current mailing address is 795 White Horse Pike, Suite B, Haddon Township, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1225448988.
Healthcare Provider's Profile
Full Name | Mr Larry S Charles Jr |
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Gender | Male |
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Speciality | Nurse's Aide |
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Location | 795 White Horse Pike, Haddon Township, New Jersey |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1225448988
- Provider Enumeration Date: 05/04/2014
- Last Update Date: 05/04/2014
Medical Identifiers
Medical identifiers for Mr Larry S Charles Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225448988 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
376K00000X | Nurse's Aide | NA200011057 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Larry S Charles Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Larry S Charles Jr, 795 White Horse Pike, Suite B, Haddon Township, NJ 08107-1264 Ph: (215) 207-4089 | Mr Larry S Charles Jr, 795 White Horse Pike, Suite B, Haddon Township, NJ 08107-1264 Ph: (215) 207-4089 |
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