Dries, Charles Peter

Dries, Charles Peter is an individual health care provider with primary practice located at 1850 N Central Ave Suite 1600, Phoenix AZ 85004-4633. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Dries, Charles Peter can be contacted via phone (602) 744-4765.

Contact Information

Primary practice address
1850 N Central Ave Suite 1600 Phoenix AZ 85004-4633
Phone: (602) 744-4765
Fax: (602) 744-4799
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 21996 Arizona
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 21996 Arizona

Profile Details

NPI number 1871563692
LBN Legal business name Dries, Charles Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Oct 27th, 2010 - about 14 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 1871563692 NPPES
Other 050034246 MEDICARE RAILROAD
MEDICAID 153718 MEDICARE RAILROAD

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