Essex, Charles Phillip

Essex, Charles Phillip is an individual health care provider with primary practice located at 531 Se Clay St , Dallas OR 97338-2865. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Essex, Charles Phillip can be contacted via phone (971) 612-6100.

Contact Information

Primary practice address
531 Se Clay St Dallas OR 97338-2865
Phone: (971) 612-6100
Fax: (971) 612-6101
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD28828 Oregon

Profile Details

NPI number 1033294053
LBN Legal business name Essex, Charles Phillip
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Sep 10th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033294053 NPPES
Other 0107902 UNITED HEALTHCARE
Other 1263287 UNITED HEALTHCARE
MEDICAID 891026Y UNITED HEALTHCARE
Other 1026Y UNITED HEALTHCARE
Other 080193072 UNITED HEALTHCARE
Other 3337544 UNITED HEALTHCARE

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