Clogston, Charles W

Clogston, Charles W is an individual health care provider with primary practice located at 10100 Kanis Rd , Little Rock AR 72205-6202. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Nuclear Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Clogston, Charles W can be contacted via phone (501) 255-6000.

Contact Information

Primary practice address
10100 Kanis Rd Little Rock AR 72205-6202
Phone: (501) 255-6000
Fax: (501) 255-6400
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X E0428 Arkansas
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X E0428 Arkansas

Profile Details

NPI number 1962449728
LBN Legal business name Clogston, Charles W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Mar 24th, 2014 - about 10 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 1962449728 NPPES
Arkansas MEDICAID 127369001

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