Bishop, Charles G
Bishop, Charles G is an sole proprietor health care provider with primary practice located at 12 Ginger Creek Parkway , Glen Carbon IL 62034. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Bishop, Charles G can be contacted via phone (618) 656-8200.Contact Information
Primary practice address
12 Ginger Creek Parkway
Glen Carbon IL 62034
Phone: (618) 656-8200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 036106182 | Illinois |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 036106182 | Illinois |
Profile Details
| NPI number | 1629053459 |
|---|---|
| LBN Legal business name | Bishop, Charles G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 14th, 2005 |
| Last updated | Dec 26th, 2014 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629053459 | NPPES |
| Illinois | MEDICAID | 036106182 |
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