Eldridge, Charles E
Eldridge, Charles E is an individual health care provider with primary practice located at 614 W Bypass , Andalusia AL 36420-4731. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Eldridge, Charles E can be contacted via phone (334) 222-3555.Contact Information
Primary practice address
614 W Bypass
Andalusia AL 36420-4731
Phone: (334) 222-3555
Fax: (334) 427-9522
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 16342 | Alabama |
Profile Details
| NPI number | 1629160635 |
|---|---|
| LBN Legal business name | Eldridge, Charles E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Mar 15th, 2023 - about 2 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 | 1629160635 | NPPES |
| Alabama | MEDICAID | 009203410 | |
| Alabama | Other | 51087383 |
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