Everett, Charles Willard

Everett, Charles Willard is an individual health care provider with primary practice located at 338 Harris Hill Rd Suite 207, Williamsville NY 14221-7407. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Everett, Charles Willard can be contacted via phone (716) 634-4798.

Contact Information

Primary practice address
338 Harris Hill Rd Suite 207 Williamsville NY 14221-7407
Phone: (716) 634-4798
Fax: (716) 634-0987
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 185293-1 New York

Profile Details

NPI number 1144334079
LBN Legal business name Everett, Charles Willard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated Dec 14th, 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 1144334079 NPPES
New York MEDICAID 01744187

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