Cesare, Charles D

Cesare, Charles D is an individual health care provider with primary practice located at 1110 W Kingshighway , Paragould AR 72450-4164. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Cesare, Charles D can be contacted via phone (870) 205-2000.

Contact Information

Primary practice address
1110 W Kingshighway Paragould AR 72450-4164
Phone: (870) 205-2000
Fax: (870) 205-2001
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 9601 Mississippi
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X E7806 Arkansas

Profile Details

NPI number 1063408409
LBN Legal business name Cesare, Charles D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated Dec 2nd, 2020 - about 4 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 1063408409 NPPES
Mississippi Other 81301 ARK BCBS
Mississippi MEDICAID 00114569 ARK BCBS
Mississippi Other 111171001 ARK BCBS
Mississippi MEDICAID 111171001 ARK BCBS

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