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Contact Information

CHARLES K CARPENTER, NP
4000 WELLNESS DR
MIDLAND, MI48670-2483
 Phone: 844-832-1956
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Addiction (Substance Use Disorder)

163WA0400X
 

Cardiac Rehabilitation

163WC3500X
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for CHARLES K CARPENTER · (Male)

NPI Number 1497085963
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 01/06/2010
Last updated 02/14/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 4704271364
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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