Charbonneau, Patrick

Charbonneau, Patrick is an individual health care provider with primary practice located at 6051 Highway 49 , Hattiesburg MS 39401-7200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Charbonneau, Patrick can be contacted via phone (601) 288-7000.

Contact Information

Primary practice address
6051 Highway 49 Hattiesburg MS 39401-7200
Phone: (601) 288-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 17545 Mississippi
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X M8587 Texas

Profile Details

NPI number 1720020373
LBN Legal business name Charbonneau, Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2006
Last updated Nov 11th, 2010 - about 14 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 1720020373 NPPES
Texas Other 1720020373 BCBXTX
Texas MEDICAID 193109901 BCBXTX
Texas Other 1720020373 BCBXTX
Texas MEDICAID 03923081 BCBXTX
Texas Other 8BB100 BCBXTX

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