Charles R. Morthland, ILLINOIS LICENSE # 0

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

0206 Issued in IL

Practice address

19 W Frankfort PLZ
West Frankfort, IL 62896-4964

Phone

(618) 937-2492

Fax

(618) 937-3418

NPI assigned

Jul 31, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669488664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 W FRANKFORT PLZ",
            "city": "WEST FRANKFORT",
            "state": "IL",
            "postal_code": "628964964",
            "telephone_number": "618-937-2492",
            "fax_number": "618-937-3418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 W FRANKFORT PLZ",
            "city": "WEST FRANKFORT",
            "state": "IL",
            "postal_code": "628964964",
            "telephone_number": "618-937-2492",
            "fax_number": "618-937-3418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTHLAND",
        "first_name": "CHARLES",
        "middle_name": "R.",
        "name_prefix": "Mr.",
        "credential": "ILLINOIS LICENSE # 0",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "IL",
            "license": "0206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariel Moore
• Lyndsey Alecia Moore, M.S.W Q.M.H.P
• Aaron Morehead
• Carri Morris
• Matthew Lee Morris, OT
• Micheal Moss
• Sarah Mossholder
• MRM Chiropractic LLC
• Kjatie Murphy
• Emily Myers, MS

• Hearing Instrument Specialist in West Frankfort, IL
• Providers in West Frankfort, IL by specialty
• Hearing Instrument Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.