Provider Demographics
NPI:1518264423
Name:HAMPTON, CHARLES PAUL (LPN)
Entity Type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:PAUL
Last Name:HAMPTON
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4859 MANCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44319-3330
Mailing Address - Country:US
Mailing Address - Phone:330-322-4814
Mailing Address - Fax:
Practice Address - Street 1:4859 MANCHESTER RD
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44319-3330
Practice Address - Country:US
Practice Address - Phone:330-322-4814
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-12
Last Update Date:2011-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN-143415-M-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse