Charles D Bennett, LPN
Individual provider Active NPI Licensed Practical Nurse · Circleville, OH
NPI 1508501412 · NPPES record last updated May 4, 2022
Key facts
- NPI
- 1508501412
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- LPN.124587.MEDS-IV (OH)
- Practice address
- 2065 Stoneridge Dr
Circleville, OH 43113-8956 - Phone
- (740) 500-1391
- NPI assigned
- May 4, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPN.124587.MEDS-IV | OH | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Full Circle Recovery of Circleville | Current |
Accepting new patients | |
| Full Circle Recovery of Circleville | Current |
Accepting new patients |
Locations
2065 Stoneridge Dr
Circleville, OH 43113
Phone (740) 500-1391
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/hopevalleyrecovery/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LPN.124587.MEDS-IV | OH | Yes |
Addresses
Primary practice location
2065 Stoneridge Dr
Circleville, OH 43113-8956
Mailing address
2065 Stoneridge Dr
Circleville, OH 43113-8956
Phone (740) 500-1391
Other providers in Circleville, OH
- Bcam, LLC
- Donald Beatty
- Jodi L Beckley
- Trista Beebe
- Fara M Bellows
- David Thomas Bennett
- Jonathan Richard Bennett
- Marsha Bennett
- James Benson
- Berger Acute Services
All providers in Circleville, OH · Licensed Practical Nurse in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2022. 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.