Charlton, Gregory Alan
Charlton, Gregory Alan is an individual health care provider with primary practice located at 1240 S Telshor Blvd Suite B, Las Cruces NM 88011-4731. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Charlton, Gregory Alan can be contacted via phone (575) 522-3885.Contact Information
Primary practice address
1240 S Telshor Blvd Suite B
Las Cruces NM 88011-4731
Phone: (575) 522-3885
Fax: (575) 522-3895
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sleep Medicine | 2084S0012X | 2001-154 | New Mexico |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 2001-154 | New Mexico |
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | 2001-154 | New Mexico |
Profile Details
| NPI number | 1386675270 |
|---|---|
| LBN Legal business name | Charlton, Gregory Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2006 |
| Last updated | Jul 31st, 2011 - about 13 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 | 1386675270 | NPPES |
| New Mexico | MEDICAID | 68700041 | |
| New Mexico | MEDICAID | 742785 |
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