Chavez, Charles

Chavez, Charles is an individual health care provider with primary practice located at 6701 Jefferson St Ne , Albuquerque NM 87109-4318. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Chavez, Charles can be contacted via phone (505) 727-6200.

Contact Information

Primary practice address
6701 Jefferson St Ne Albuquerque NM 87109-4318
Phone: (505) 727-6200
Fax: (505) 727-9590
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 85155 New Mexico
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 85-155 New Mexico

Profile Details

NPI number 1932168713
LBN Legal business name Chavez, Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Apr 17th, 2017 - about 8 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 1932168713 NPPES
New Mexico MEDICAID 37598

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