Allderdice, Charles Joseph

Allderdice, Charles Joseph is an individual health care provider with primary practice located at 9320 Park West Blvd , Knoxville TN 37923-4301. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Allderdice, Charles Joseph can be contacted via phone (865) 373-7100.

Contact Information

Primary practice address
9320 Park West Blvd Knoxville TN 37923-4301
Phone: (865) 373-7100
Fax: (865) 374-2029
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 61180 Tennessee
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 61180 Tennessee

Profile Details

NPI number 1104262096
LBN Legal business name Allderdice, Charles Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2013
Last updated Aug 14th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104262096 NPPES
Tennessee MEDICAID Q058411

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