Charlesworth, Ernest E

Charlesworth, Ernest E is an individual health care provider with primary practice located at 12 St Paul Dr Ste 203 , Chambersburg PA 17201-1035. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Charlesworth, Ernest E can be contacted via phone (717) 264-6511.

Contact Information

Primary practice address
12 St Paul Dr Ste 203 Chambersburg PA 17201-1035
Phone: (717) 264-6511
Fax: (717) 264-1081
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD027138E Pennsylvania

Profile Details

NPI number 1366448391
LBN Legal business name Charlesworth, Ernest E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Mar 4th, 2020 - about 6 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 1366448391 NPPES
Pennsylvania Other 102956 HIGHMARK BLUE SHIELD
Pennsylvania MEDICAID 000947033 HIGHMARK BLUE SHIELD
Pennsylvania Other MD027138E HIGHMARK BLUE SHIELD

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