Everson, Charles Tilden

Everson, Charles Tilden is an individual health care provider with primary practice located at 1111 Medical Center Blvd Ste. N703, Marrero LA 70072-3151. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Everson, Charles Tilden can be contacted via phone (504) 349-4901.

Contact Information

Primary practice address
1111 Medical Center Blvd Ste. N703 Marrero LA 70072-3151
Phone: (504) 349-4901
Fax: (504) 349-6755
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 06267R Louisiana
Allopathic & Osteopathic Physicians / Surgery 208600000X MD06267R Louisiana
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 06267R Louisiana

Profile Details

NPI number 1518913367
LBN Legal business name Everson, Charles Tilden
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Jul 29th, 2013 - about 11 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 1518913367 NPPES
Louisiana MEDICAID 1355062

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