Carlisle, David Charles
Carlisle, David Charles is an individual health care provider with primary practice located at 165 Scott Ave Suite 100, Morgantown WV 26508-8847. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Carlisle, David Charles can be contacted via phone (304) 554-0400.Contact Information
Primary practice address
165 Scott Ave Suite 100
Morgantown WV 26508-8847
Phone: (304) 554-0400
Fax: (304) 554-0404
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD436112 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | MD436112 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 20946 | West Virginia |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 90420 | Ohio |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 90429 | Ohio |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 90429 | Ohio |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 20946 | West Virginia |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 20946 | West Virginia |
Profile Details
| NPI number | 1639231087 |
|---|---|
| LBN Legal business name | Carlisle, David Charles |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2006 |
| Last updated | Jan 23rd, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639231087 | NPPES |
| West Virginia | MEDICAID | 1810688000 | |
| West Virginia | Other | 4216662 |
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