Dinwiddie, Charles W

Dinwiddie, Charles W is an individual health care provider with primary practice located at 2835 Highway 231 N , Shelbyville TN 37160-7327. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Dinwiddie, Charles W can be contacted via phone (931) 685-5433.

Contact Information

Primary practice address
2835 Highway 231 N Shelbyville TN 37160-7327
Phone: (931) 685-5433
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X APN8781 Tennessee

Profile Details

NPI number 1497831242
LBN Legal business name Dinwiddie, Charles W
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated May 13th, 2010 - about 15 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 1497831242 NPPES
Tennessee Other 01070162 AMERIGROUP TENNCARE ONLY
Tennessee MEDICAID 3634941 AMERIGROUP TENNCARE ONLY
Tennessee Other P00136014 AMERIGROUP TENNCARE ONLY
Tennessee Other 4070725 AMERIGROUP TENNCARE ONLY

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