Charles A Wardle

LBN: Charles A Wardle
Charles A Wardle is an health care organization with primary practice located at 1426 Commerce Ave , Longview WA 98632-3720. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Charles A Wardle can be contacted via phone (360) 423-7650, or through Davis, Darcy via phone (360) 423-7650.

Contact Information

Primary practice address
1426 Commerce Ave Longview WA 98632-3720
Phone: (360) 423-7650
Fax: (360) 423-2346
Website:
Map and Directions
Authorized official contact:
Name: Davis, Darcy L.D.O.
Phone: (360) 423-7650

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 907 Washington

Profile Details

NPI number 1154503605
LBN Legal business name Charles A Wardle
DBA Doing business as
Authorized official Davis, Darcy L.D.O.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 27th, 2007
Last updated Sep 23rd, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154503605 NPPES
Washington Other DG6451 RAILROAD MEDICARE
Washington MEDICAID 2046902 RAILROAD MEDICARE

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