Drake, Charles E
Drake, Charles E is an sole proprietor health care provider with primary practice located at 12345 Mercy Blvd , Savannah GA 31419-3436. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Drake, Charles E can be contacted via phone (912) 927-3046.Contact Information
Primary practice address
12345 Mercy Blvd
Savannah GA 31419-3436
Phone: (912) 927-3046
Fax: (912) 925-0597
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 21678 | Georgia |
Profile Details
| NPI number | 1871684027 |
|---|---|
| LBN Legal business name | Drake, Charles E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Nov 17th, 2022 - 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 | 1871684027 | NPPES |
| Georgia | Other | 21678 | LICENSE |
| Georgia | MEDICAID | 00250841E | LICENSE |
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