Daniel, Charles Wilcox
Daniel, Charles Wilcox is an individual health care provider with primary practice located at 12525 Perkins Rd Suite C, Baton Rouge LA 70810-1907. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Daniel, Charles Wilcox can be contacted via phone (225) 769-2003.Contact Information
Primary practice address
12525 Perkins Rd Suite C
Baton Rouge LA 70810-1907
Phone: (225) 769-2003
Fax: (225) 767-3055
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 015131 | Louisiana |
Profile Details
| NPI number | 1932108172 |
|---|---|
| LBN Legal business name | Daniel, Charles Wilcox |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Aug 26th, 2021 - about 3 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 | 1932108172 | NPPES |
| Louisiana | MEDICAID | 1315541 |
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