Carpenter, Charles Mark

Carpenter, Charles Mark is an individual health care provider with primary practice located at 1500 E 2Nd St Suite 206, Reno NV 89502-1181. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Carpenter, Charles Mark can be contacted via phone (775) 789-7000.

Contact Information

Primary practice address
1500 E 2Nd St Suite 206 Reno NV 89502-1181
Phone: (775) 789-7000
Fax: (775) 789-7040
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4665 Nevada

Profile Details

NPI number 1942298112
LBN Legal business name Carpenter, Charles Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Nov 4th, 2011 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1942298112 NPPES
Nevada Other CC4367 ANTHEM BCBS
Nevada MEDICAID XPY187231 ANTHEM BCBS
Nevada MEDICAID 002016467 ANTHEM BCBS
Nevada Other CC4367 ANTHEM BCBS

Popular Providers