Mr. Charles Russell King
Prosthetist
52 Marion St
Cumberland
, Maryland 21502-2548
Mr. Charles Russell King
Prosthetist
52 Marion St
Cumberland
, Maryland 21502-2548
(301) 707-0982
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About
Features
Specialties
- Prosthetist
Languages spoken
- English
Location
First Address
- Mr. Charles Russell King
- 725 Park St Suite 252
- Cumberland, MD
- Zip : 21502-3172
- Phone : (301) 707-0982
Second Address
- Mr. Charles Russell King
- 52 Marion St
- Cumberland, MD
- Zip : 21502-2548
- Fax : (301) 724-5050
- Phone : (301) 707-0982
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224P00000X | Prosthetist |
National Provider Identifier
| NPI | 1073813291 |
|---|---|
| Provider Name | Mr. Charles Russell King |
| First Address | Cumberland, MD 21502-3172 |
| Second Address | Cumberland, MD 21502-2548 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/10/2010 |
| Last Update Date | 22/10/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.