Individual
MR. CHARLES E. HARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., CCCA
Contact information
Practice address
17020 E US HIGHWAY 40, SUITE 9, INDEPENDENCE, MO 64055-5361
(816) 373-7900
(816) 373-7969
Mailing address
17020 E US HIGHWAY 40, SUITE 9, INDEPENDENCE, MO 64055-5361
(816) 373-7900
(816) 373-7969
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
102183
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19100061
BLUE SHIELD
MO
Enumeration date
12/06/2006
Last updated
06/21/2010
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