Charnock, Edwin Howard
Charnock, Edwin Howard is an individual health care provider with primary practice located at 1001 Robbie Mince Way , Desoto TX 75115-2012. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Charnock, Edwin Howard can be contacted via phone (972) 780-8585.Contact Information
Primary practice address
1001 Robbie Mince Way
Desoto TX 75115-2012
Phone: (972) 780-8585
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | G4909 | Texas |
Allopathic & Osteopathic Physicians / Sleep Medicine | 2084S0012X | G4909 | Texas |
Profile Details
NPI number | 1790777076 |
---|---|
LBN Legal business name | Charnock, Edwin Howard |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 22nd, 2005 |
Last updated | Feb 16th, 2012 - 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 | 1790777076 | NPPES |
Texas | MEDICAID | 134735307 |
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