Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 770 | OH |
N | 111NI0013X | Independent Medical Examiner | 770 | OH |
NPI | 1194936211 |
---|---|
Provider Name | Dr. Charles Edward Duvall JR. |
First Address | Uniontown, OH 44685-8200 |
Second Address | Akron, OH 44314-1909 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2007 |
Last Update Date | 08/07/2007 |