Provider Demographics
NPI:1134950504
Name:BOBOYE, CHARLES SUNDAY
Entity type:Individual
Prefix:
First Name:CHARLES
Middle Name:SUNDAY
Last Name:BOBOYE
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 1:9969 GOOD LUCK RD APT 202
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-3277
Mailing Address - Country:US
Mailing Address - Phone:317-909-9706
Mailing Address - Fax:
Practice Address - Street 1:9969 GOOD LUCK RD APT 202
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-3277
Practice Address - Country:US
Practice Address - Phone:317-909-9706
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-08
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No104100000XBehavioral Health & Social Service ProvidersSocial Worker