Individual
MR. CHARLES DANIEL EGBERT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HS DIPLOMA, CAREGIVE
Contact information
Practice address
1105 COUNTY ROAD C, ARKDALE, WI 54613
(608) 403-2440
Mailing address
450 E. STATE ST. P.O. BOX 1068, ADAMS, WI 53910
(608) 339-7600
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
10/14/2019
Last updated
10/14/2019
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