Charles, Gervais V.
Charles, Gervais V. is an individual health care provider with primary practice located at 1000 E Mountain Dr , Wilkes Barre PA 18711-0027. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Charles, Gervais V. can be contacted via phone (570) 808-7399.Contact Information
Primary practice address
1000 E Mountain Dr
Wilkes Barre PA 18711-0027
Phone: (570) 808-7399
Fax: (570) 808-5942
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD072133L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MD072133L | Pennsylvania |
Profile Details
| NPI number | 1821058405 |
|---|---|
| LBN Legal business name | Charles, Gervais V. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2006 |
| Last updated | Nov 27th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821058405 | NPPES |
| Pennsylvania | MEDICAID | 0018207720008 |
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