Charlesworth, Ernest
Charlesworth, Ernest is an individual health care provider with primary practice located at 120 E Beauregard Ave , San Angelo TX 76903-5919. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Charlesworth, Ernest can be contacted via phone (325) 481-2294.Contact Information
Primary practice address
120 E Beauregard Ave
San Angelo TX 76903-5919
Phone: (325) 481-2294
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | D8172 | Texas |
Profile Details
| NPI number | 1114921459 |
|---|---|
| LBN Legal business name | Charlesworth, Ernest |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Jan 16th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114921459 | NPPES |
| Texas | MEDICAID | 125204102 |
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