Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAKE CHARLIE
ActiveJAKE CHARLIE is a Driver healthcare provider located in TUBA CITY, Arizona. NPI 1851691638 is currently active in the NPPES registry. Verify at CMS.
Driver · TUBA CITY, AZ
Registration Details
- NPI Number
- 1851691638
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 27, 2010 (15.7703328167 yrs)
- Last Updated
- Oct 27, 2010
- License
-
CNA999953632 (AZ)
Practice Information
- Address
-
167 N. MAIN STREETTUBA CITY, AZ, 860450600Browse AZ providers · Browse ZIP 86045
- Phone
- 9282832501
- Primary Specialty
-
Driver
172A00000X
Other Driver Providers in TUBA CITY, AZ
| Name | Credential | NPI |
|---|---|---|
| MIA SEIMY | — | 1306223870 |
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.