Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
JEROME G. CHARLES
Active
Individual
JEROME G. CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2921-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000486021
MEDICARE
WI
01
—
001686030
MEDICARE
WI
01
—
115015
SECURITY HEALTH PLAN
WI
05
—
40309000
—
WI
01
—
650018183
RAILROAD MEDICARE
WI
01
—
650025343
RAILROAD MEDICARE
—
Enumeration date
07/19/2006
Last updated
06/25/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers