Brdlik, Charles J

Brdlik, Charles J is an individual health care provider with primary practice located at 1800 Ryan St Suite 105, Lake Charles LA 70601-6078. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Brdlik, Charles J can be contacted via phone (337) 439-4706.

Contact Information

Primary practice address
1800 Ryan St Suite 105 Lake Charles LA 70601-6078
Phone: (337) 439-4706
Fax: (337) 439-8110
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 07505R Louisiana

Profile Details

NPI number 1215910112
LBN Legal business name Brdlik, Charles J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated Mar 7th, 2023 - about last year

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 1215910112 NPPES
Other 300083018 RAILROAD MEDICARE
MEDICAID 1373231 RAILROAD MEDICARE
Other 18606 RAILROAD MEDICARE

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