Provider Demographics
NPI:1548601735
Name:JOSEPH CHARLES HEALTHCARE SERVICES INC
Entity Type:Organization
Organization Name:JOSEPH CHARLES HEALTHCARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:NAMEY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:440-293-2444
Mailing Address - Street 1:PO BOX 179
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:OH
Mailing Address - Zip Code:44003-0179
Mailing Address - Country:US
Mailing Address - Phone:440-293-2444
Mailing Address - Fax:440-293-2445
Practice Address - Street 1:5594 STATE ROUTE 7
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:OH
Practice Address - Zip Code:44003-9490
Practice Address - Country:US
Practice Address - Phone:440-293-2444
Practice Address - Fax:440-293-2445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-16
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34-00-3466207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty