Blotnick, Charles A

Blotnick, Charles A is an individual health care provider with primary practice located at 2015 Randolph Rd Suite 108, Charlotte NC 28207-1200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Blotnick, Charles A can be contacted via phone (704) 334-2020.

Contact Information

Primary practice address
2015 Randolph Rd Suite 108 Charlotte NC 28207-1200
Phone: (704) 334-2020
Fax: (704) 334-6175
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 9901116 North Carolina
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 21278 South Carolina

Profile Details

NPI number 1457320020
LBN Legal business name Blotnick, Charles A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Jan 3rd, 2013 - about 11 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 1457320020 NPPES
South Carolina MEDICAID 212781
South Carolina MEDICAID 891229K

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