Charnetsky, Paul Scott

Charnetsky, Paul Scott is an individual health care provider with primary practice located at 13851 W La Mar Blvd Suite B, Goodyear AZ 85338-1389. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Charnetsky, Paul Scott can be contacted via phone (623) 932-2200.

Contact Information

Primary practice address
13851 W La Mar Blvd Suite B Goodyear AZ 85338-1389
Phone: (623) 932-2200
Fax: (623) 932-2242
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 20645 Arizona
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 20645 Arizona

Profile Details

NPI number 1477515021
LBN Legal business name Charnetsky, Paul Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Aug 14th, 2007 - about 18 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 1477515021 NPPES
Arizona Other 20645 AZ STATE LICENSE

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