Charles Howard Reisdorf
RN, CDE | Nurse Practitioner | 10+ years Exp
744 W Michigan Ave Ste 201, Jackson
Michigan, 49201-1900
517-817-7618
Charles Howard Reisdorf is a Jackson, Michigan based nurse practitioner with 10 years of experience in Nurse Practitioner. He completed his graduation in 2015. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Charles Howard Reisdorf is 4704278150 in Michigan. His current practice location is 744 W Michigan Ave Ste 201, Jackson. Patients can reach him at 517-817-7618 or can fax him at 517-817-7611. Charles Howard Reisdorf is RN, CDE with specialization in Nurse Practitioner and his NPI number (Unique professional ID assigned by NPPES) is 1922305929.
Charles Howard Reisdorf has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Charles Howard Reisdorf speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Charles Howard Reisdorf |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Male |
| Credentials: | RN, CDE |
| Experience: | 10+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2015 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 744 W Michigan Ave Ste 201, Jackson,
Michigan, 49201-1900 |
| Phone: | 517-817-7618 |
| Fax: | 517-817-7611 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 3971807553 |
| Enrollment ID: | I20160202000125 |
| NPI Number: | 1922305929 |
| NPI Enumeration Date: | 28 Feb, 2011 |
| NPI Last Update On: | 04 May, 2016 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Charles Howard Reisdorf are as mentioned below.
| License Number | Specialization | State | Status | |
| 4704278150 | | Michigan | Primary | |
| 21310526 | Health Educator | | Secondary | |
| 4704278150 | Registered Nurse | Michigan | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Charles Howard Reisdorf is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| W.a. Foote Memorial Hospital, Inc. (0244136067) | 452 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Charles Howard Reisdorf
744 W Michigan Ave Ste 201,
Jackson, Michigan |
| Zip: | 49201-1900 |
| Phone Number: | 517-817-7618 |
| Fax Number: | 517-817-7611 |
Patients can reach Charles Howard Reisdorf at
744 W Michigan Ave Ste 201, Jackson, Michigan or can
call to book an appointment on 517-817-7618.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.