Deigert, Charles Aaron

Deigert, Charles Aaron is an sole proprietor health care provider with primary practice located at 2881 Richlands Hwy , Jacksonville NC 28540-3672. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Deigert, Charles Aaron can be contacted via phone (910) 346-6696.

Contact Information

Primary practice address
2881 Richlands Hwy Jacksonville NC 28540-3672
Fax: (910) 346-2842
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X NC7574 North Carolina

Profile Details

NPI number 1619913266
LBN Legal business name Deigert, Charles Aaron
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2006
Last updated Dec 26th, 2012 - about 12 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 1619913266 NPPES
North Carolina MEDICAID 89902PY

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