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Contact Information

CHARLES F EMMONS, CRNA
1235 E CHEROKEE ST
SPRINGFIELD, MO65804-2203
 Phone: 417-820-2829
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for CHARLES F EMMONS · (Male)

NPI Number 1487752135
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 09/20/2006
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • AR License # C01396
  • MO License # 2013017946
  • AR Medicaid 148853701
  • MO Medicaid 1487752135
  • OK Medicaid PENDING
Hospital affiliation(s)
  • MERCY HOSPITAL SPRINGFIELD - (Acute Care)
    1235 E CHEROKEE
    SPRINGFIELD, MO 65804
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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