Individual
MR. CHARLES P WINTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NBC-HIS
Contact information
Practice address
304 UNION AVE, ALTOONA, PA 16602-3250
(814) 943-4061
Mailing address
304 UNION AVE, ALTOONA, PA 16602-3250
(814) 943-4061
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
FO2396
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203902
BLUE CROSS BLUE SHIELD
—
Enumeration date
03/02/2007
Last updated
07/08/2007
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