Anderson, Charles Edward
Anderson, Charles Edward is an sole proprietor health care provider with primary practice located at 4800 I-55 North , Jackson MS 39211-5555. He recently has only one registered license in Eye and Vision Services Providers / Ocularist, which is considered as his primary health care specialty. Anderson, Charles Edward can be contacted via phone (601) 948-0582.Contact Information
Primary practice address
4800 I-55 North
Jackson MS 39211-5555
Phone: (601) 948-0582
Fax: (601) 362-1392
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Ocularist | 156FX1700X | UNLICENSED STATE | Mississippi |
Profile Details
| NPI number | 1316004039 |
|---|---|
| LBN Legal business name | Anderson, Charles Edward |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 2nd, 2007 |
| Last updated | Dec 12th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316004039 | NPPES |
| Mississippi | MEDICAID | 00089008 |
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