National Provider Identifier Database

CLARISSA CHARLES
Prosthetist

An individual skilled in the practice, making, use, and application to individual cases of an artificial substitute for a missing body part, such as an arm or leg, eye or tooth, used for functional or cosmetic reasons, or both


Contact Information

CLARISSA CHARLES
2715 MAIN ST STE D
HIGHLAND, IN46322-3637
Phone: 708-341-4457
Fax:
Website:
Specialty Taxonomy Code
* Prosthetist 224P00000X

* Indicates primary specialty

NPI Profile & details for CLARISSA CHARLES

NPI Number 1730704750
Credentials
Entity Individual
Enumeration date 06/16/2020
Last updated 10/05/2020 - About 6 years ago
Sole proprietor1 Yes
Identifiers
  • GA License #: BR020426
Hospital affiliation n/a

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.

Reviews for CLARISSA CHARLES

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