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Search › Ohio › 171M00000X

Charles Daniels

NPI 1356914576 · on the registry since 2021

Practice

Address
7416 Polo Springs Ct
Fairfield, OH 45014
Phone
(513) 704-1268
Organisation at this address
Enterlock Corp
Prosperity Bound Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
171M00000X
171M00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-03-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio