Caldwell, Charles M

Caldwell, Charles M is an sole proprietor health care provider with primary practice located at 1020 W Fertitta Blvd , Leesville LA 71446-4649. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Caldwell, Charles M can be contacted via phone (337) 239-9041.

Contact Information

Primary practice address
1020 W Fertitta Blvd Leesville LA 71446-4649
Phone: (337) 239-9041
Fax: (337) 239-5360
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X MD.15763R Louisiana
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD.15763R Louisiana

Profile Details

NPI number 1528008695
LBN Legal business name Caldwell, Charles M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2006
Last updated Mar 25th, 2011 - about 15 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 1528008695 NPPES
Louisiana MEDICAID 1722669

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