Provider Demographics
NPI:1477995215
Name:EHIN, CHARLES K
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:K
Last Name:EHIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1481 W WARM SPRINGS RD. # 129
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-0000
Mailing Address - Country:US
Mailing Address - Phone:702-547-0201
Mailing Address - Fax:702-944-7846
Practice Address - Street 1:1481 W WARM SPRINGS RD STE 129
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-7636
Practice Address - Country:US
Practice Address - Phone:702-547-0201
Practice Address - Fax:702-944-7846
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-22
Last Update Date:2013-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor