Crosslin, Charles G
Crosslin, Charles G is an sole proprietor health care provider with primary practice located at 7345 Highway 62 W , Gassville AR 72635. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Crosslin, Charles G can be contacted via phone (870) 435-3333.Contact Information
Primary practice address
7345 Highway 62 W
Gassville AR 72635
Phone: (870) 435-3333
Fax: (870) 471-9029
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 2326 | Arkansas |
Profile Details
| NPI number | 1124028493 |
|---|---|
| LBN Legal business name | Crosslin, Charles G |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 28th, 2005 |
| Last updated | Jun 15th, 2018 - about 6 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 | 1124028493 | NPPES |
| Arkansas | MEDICAID | 101232722 |
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