Branch, Charles Leon

Branch, Charles Leon is an individual health care provider with primary practice located at Medical Center Blvd , Winston Salem NC 27157-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Branch, Charles Leon can be contacted via phone (336) 716-2255.

Contact Information

Primary practice address
Medical Center Blvd Winston Salem NC 27157-0001
Phone: (336) 716-2255
Fax: (336) 716-2907
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 27027 North Carolina

Profile Details

NPI number 1821078403
LBN Legal business name Branch, Charles Leon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Aug 19th, 2010 - about 14 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 1821078403 NPPES
Other 17801 BCBS
Other 4607330 BCBS
MEDICAID 6134700 BCBS
Other 140007841 BCBS
MEDICAID Q27027 BCBS
Other 2801 BCBS
MEDICAID 8917801 BCBS
MEDICAID 1840964000 BCBS
Other 21297 BCBS

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