Anderson, Charla Lynn

Anderson, Charla Lynn is an individual health care provider with primary practice located at 2115 Chapline St Ste 105 , Wheeling WV 26003-3859. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Anderson, Charla Lynn can be contacted via phone (304) 234-3410.

Contact Information

Primary practice address
2115 Chapline St Ste 105 Wheeling WV 26003-3859
Fax: (304) 234-8605
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 18847WV West Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35071519 Ohio

Profile Details

NPI number 1699794552
LBN Legal business name Anderson, Charla Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Oct 15th, 2015 - about 10 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 1699794552 NPPES
Ohio MEDICAID 2044577
Ohio MEDICAID 0048008000

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