Charlesworth, Todd J
Charlesworth, Todd J is an sole proprietor health care provider with primary practice located at 2901 Squalicum Pkwy , Bellingham WA 98225-1851. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Charlesworth, Todd J can be contacted via phone (360) 738-6765.Contact Information
Primary practice address
2901 Squalicum Pkwy
Bellingham WA 98225-1851
Phone: (360) 738-6765
Fax: (360) 738-6377
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA10005145 | Washington |
Profile Details
| NPI number | 1346343274 |
|---|---|
| LBN Legal business name | Charlesworth, Todd J |
| Credentials | PA C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 6th, 2006 |
| Last updated | Sep 26th, 2011 - about 14 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 | 1346343274 | NPPES |
| Washington | Other | 0218367 | LIWA |
| Washington | Other | 5357CH | LIWA |
| Washington | MEDICAID | 8474355 | LIWA |
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