Provider Demographics
NPI:1679294714
Name:CATON, CHARLES TODD
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:TODD
Last Name:CATON
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 1:1015 16TH ST
Mailing Address - Street 2:
Mailing Address - City:PARKERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26101-4051
Mailing Address - Country:US
Mailing Address - Phone:304-483-2012
Mailing Address - Fax:
Practice Address - Street 1:1015 16TH ST
Practice Address - Street 2:
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26101-4051
Practice Address - Country:US
Practice Address - Phone:304-483-2012
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-07
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant