Charles A. Wilson D.O., Llc

LBN: Charles A. Wilson D.O., Llc
Charles A. Wilson D.O., Llc is an health care organization with primary practice located at 91-2139 Fort Weaver Rd Suite 213, Ewa Beach HI 96706-3607. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Charles A. Wilson D.O., Llc can be contacted via phone (808) 677-8008, or through Wilson, Charles Ashley via phone (808) 744-1906.

Contact Information

Primary practice address
91-2139 Fort Weaver Rd Suite 213 Ewa Beach HI 96706-3607
Phone: (808) 677-8008
Fax: (808) 677-8007
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Charles Ashley Doctor of Osteopathy (DO)
Phone: (808) 744-1906

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DOS 1154 Hawaii

Profile Details

NPI number 1720393937
LBN Legal business name Charles A. Wilson D.O., Llc
DBA Doing business as
Authorized official Wilson, Charles Ashley Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 11th, 2010
Last updated Aug 11th, 2010 - about 14 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 1720393937 NPPES
Hawaii MEDICAID 597081

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