Provider Demographics
NPI:1790310993
Name:CURTIS, CHARLES HUMMER (BCH)
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:HUMMER
Last Name:CURTIS
Suffix:
Gender:M
Credentials:BCH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24F CONGRESSIONAL CIR
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19607-3462
Mailing Address - Country:US
Mailing Address - Phone:610-775-0271
Mailing Address - Fax:
Practice Address - Street 1:24F CONGRESSIONAL CIR
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19607-3462
Practice Address - Country:US
Practice Address - Phone:610-775-0271
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-08
Last Update Date:2020-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator