Deberardinis, Charles A
Deberardinis, Charles A is an individual health care provider with primary practice located at 738 Bryant St Suite A, Statesville NC 28677-4189. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Deberardinis, Charles A can be contacted via phone (704) 873-1189.Contact Information
Primary practice address
738 Bryant St Suite A
Statesville NC 28677-4189
Phone: (704) 873-1189
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | N1610 | Texas |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 2010-00361 | North Carolina |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 201000361 | North Carolina |
Profile Details
| NPI number | 1659311207 |
|---|---|
| LBN Legal business name | Deberardinis, Charles A |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2006 |
| Last updated | Mar 29th, 2021 - about 4 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 | 1659311207 | NPPES |
| North Carolina | MEDICAID | 5913902 |
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