Carl, Charles Wingard

Carl, Charles Wingard is an individual health care provider with primary practice located at 16 Boston Post Rd Ste 205, Wayland MA 01778-2435. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Carl, Charles Wingard can be contacted via phone (508) 358-2050.

Contact Information

Primary practice address
16 Boston Post Rd Ste 205 Wayland MA 01778-2435
Fax: (508) 358-4481
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 31076 Massachusetts

Profile Details

NPI number 1891729505
LBN Legal business name Carl, Charles Wingard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jul 8th, 2007 - about 17 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 1891729505 NPPES
Massachusetts Other 33616 CIGNA
Massachusetts Other 031076 CIGNA
Massachusetts Other 4130663 CIGNA
Massachusetts Other J05795 CIGNA
Massachusetts MEDICAID 3011739 CIGNA

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