Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES ALLAN PITTS
Active Sole ProprietorCHARLES ALLAN PITTS is a Van Provider healthcare provider located in BOLIVAR, Missouri. NPI 1669949772 is currently active in the NPPES registry. Verify at CMS.
Van Provider · BOLIVAR, MO
Registration Details
- NPI Number
- 1669949772
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 26, 2018 (7.8058444582366 yrs)
- Last Updated
- Oct 30, 2018
- Licenses
-
T981478106 (MO)S063269009 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
965 E MT GILEAD RDBOLIVAR, MO, 656139128Browse MO providers · Browse ZIP 65613
- Phone
- 4173276104
- Primary Specialty
-
Van Provider
344600000X
- Additional Specialty
- Van Provider
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.