Doctor Name: | MR. CHARLES LEE OSTRANDER |
NPI Number: | 1407048671 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.ED. |
License Number: | 3916401 |
Business Practice Address: | 10385 E. Highway 92 Hereford, AZ - 856150038 |
Business Phone Number: | 5203666204 |
Business Fax Number: | 5203660313 |
Mailing Address: | Po Box 38, HEREFORD |
State: | AZ |
Postal Code: | 856150038 |
Phone Number: | 5203666204 |
Fax Number: | 5203660313 |
NPI Enumeration Date: | 08/13/2007 |
NPI Last Update Date: | 08/13/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251300000X |
License Number: | 3916401 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Local Education Agency (LEA) |
Taxonomy Specialization: | |
Taxonomy Definition: | The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 |