Brown, Charles Jacob

Brown, Charles Jacob is an individual health care provider with primary practice located at 719 East Boulevard , Charlotte NC 28203. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Brown, Charles Jacob can be contacted via phone (704) 376-9849.

Contact Information

Primary practice address
719 East Boulevard Charlotte NC 28203
Phone: (704) 376-9849
Fax: (704) 333-0708
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 35848 North Carolina

Profile Details

NPI number 1235155250
LBN Legal business name Brown, Charles Jacob
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Apr 12th, 2021 - about 3 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 1235155250 NPPES
North Carolina MEDICAID 8918893

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