Churchwell, Charles S

Churchwell, Charles S is an individual health care provider with primary practice located at 4333 N Josey Ln Suite 102, Carrollton TX 75010-4629. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Churchwell, Charles S can be contacted via phone (972) 394-0825.

Contact Information

Primary practice address
4333 N Josey Ln Suite 102 Carrollton TX 75010-4629
Phone: (972) 394-0825
Fax: (972) 394-0853
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 0836 Texas

Profile Details

NPI number 1588664122
LBN Legal business name Churchwell, Charles S
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated Mar 7th, 2023 - about last year

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 1588664122 NPPES
Texas MEDICAID 124340403
Texas Other D0052191

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