Faulk, Charles W.

Faulk, Charles W. is an individual health care provider with primary practice located at 260 International Cir , San Jose CA 95119-1130. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Faulk, Charles W. can be contacted via phone (408) 972-7000.

Contact Information

Primary practice address
260 International Cir San Jose CA 95119-1130
Phone: (408) 972-7000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X G52257 California

Profile Details

NPI number 1144306663
LBN Legal business name Faulk, Charles W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Jul 8th, 2007 - about 17 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 1144306663 NPPES
California MEDICAID 00G522570

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