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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 12 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 1790777076 NPPES
Texas MEDICAID 134735307

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