Briles, Charles William

Briles, Charles William is an individual health care provider with primary practice located at 350 N Wilmot Rd , Tucson AZ 85711-2678. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Briles, Charles William can be contacted via phone (520) 873-3495.

Contact Information

Primary practice address
350 N Wilmot Rd Tucson AZ 85711-2678
Phone: (520) 873-3495
Fax: (520) 873-5162
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1609 Arizona

Profile Details

NPI number 1508917279
LBN Legal business name Briles, Charles William
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Mar 16th, 2011 - 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 1508917279 NPPES
Arizona MEDICAID 020321

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