Individual
MR. CHARLES C. KRAINZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 WINCHESTER ST, SARDINIA, OH 45171-0064
(937) 446-9090
Mailing address
PO BOX 64, 101 WINCHESTER ST, SARDINIA, OH 45171-0064
(937) 446-9090
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
S. 4087
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0688475
—
OH
Enumeration date
05/07/2007
Last updated
07/08/2007
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