Ball, Charles W

Ball, Charles W is an sole proprietor health care provider with primary practice located at 1409 Mccann Rd , Longview TX 75601-3852. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ball, Charles W can be contacted via phone (903) 470-8100.

Contact Information

Primary practice address
1409 Mccann Rd Longview TX 75601-3852
Phone: (903) 470-8100
Fax: (903) 470-8101
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C-5265 Arkansas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X T1294 Texas

Profile Details

NPI number 1720020738
LBN Legal business name Ball, Charles W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2006
Last updated Jul 5th, 2022 - about 2 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 1720020738 NPPES
Arkansas MEDICAID 104981001
Arkansas Other 626001636
Arkansas Other 10027028
Arkansas Other 626001636
Arkansas Other 626001636
Arkansas MEDICAID 04629898
Arkansas MEDICAID 3825644
Arkansas Other 4135427
Arkansas Other 2416091
Arkansas Other 626001636
Arkansas Other 39809

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