Ewell, Charles Lee

Ewell, Charles Lee is an individual health care provider with primary practice located at 615 Shipyard Blvd , Wilmington NC 28412-6431. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Ewell, Charles Lee can be contacted via phone (910) 343-0145.

Contact Information

Primary practice address
615 Shipyard Blvd Wilmington NC 28412-6431
Fax: (910) 341-5779
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 30982 North Carolina
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 30982 North Carolina

Profile Details

NPI number 1710938535
LBN Legal business name Ewell, Charles Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Apr 21st, 2023 - about last year

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 1710938535 NPPES
North Carolina MEDICAID 89136AP
North Carolina Other 136AP
North Carolina Other P000950685

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