Fayton, Charles Earl
Fayton, Charles Earl is an sole proprietor health care provider with primary practice located at 6477 College Park Sq Ste 118, Virginia Beach VA 23464-3611. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Fayton, Charles Earl can be contacted via phone (757) 420-6218.Contact Information
Primary practice address
6477 College Park Sq Ste 118
Virginia Beach VA 23464-3611
Phone: (757) 420-6218
Fax: (757) 420-0487
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0101033992 | Virginia |
Profile Details
| NPI number | 1922002963 |
|---|---|
| LBN Legal business name | Fayton, Charles Earl |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 8th, 2005 |
| Last updated | Aug 6th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922002963 | NPPES |
| Virginia | MEDICAID | 006737358 |
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