Individual
CHARLES C JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 RIVER DR, FORT BRAGG, CA 95437-5403
(707) 961-1234
(707) 964-3691
Mailing address
PO BOX 375, MENDOCINO, CA 95460-0375
(510) 918-5296
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G9096
CA
208600000X
Surgery Physician
Primary
G9096
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922031525
—
CA
Enumeration date
09/29/2006
Last updated
03/21/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us