Individual
MR. CHARLES FELIX WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
000921-1
NY
231H00000X
Audiologist
Primary
AT000460L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015473210001
—
PA
05
—
01810044
—
NY
01
—
640004158
RR MEDICARE PIN
PA
01
—
CC9269
RR MEDICARE GROUP
PA
01
—
GU040061
PA MEDICARE GROUP
PA
Enumeration date
02/27/2006
Last updated
09/16/2011
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