Individual
CHARLES M AMMON
Active
Individual
CHARLES M AMMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163WF0300X
Flight Registered Nurse
RN270498
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.11984
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0060646
—
OH
05
—
3810023079
—
WV
Enumeration date
07/12/2010
Last updated
05/05/2020
Update your record
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