Charles Fubler
Individual provider Active NPI Counselor · Bellbrook, OH
NPI 1427624972 · NPPES record last updated Jun 3, 2021
Key facts
- NPI
- 1427624972
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 1856 Surrey TRL
Bellbrook, OH 45305-2725 - Phone
- (937) 499-4419
- NPI assigned
- Jun 3, 2021
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
1856 Surrey TRL
Bellbrook, OH 45305-2725
Mailing address
1856 Surrey TRL
Bellbrook, OH 45305-2725
Phone (937) 499-4419
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Divinedestiny.com | Direct |
Other providers in Bellbrook, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.