Ford, Charles W

Ford, Charles W is an individual health care provider with primary practice located at 870 State Farm Rd Suite 101, Boone NC 28607-4861. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Otolaryngic Allergy. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Ford, Charles W can be contacted via phone (828) 264-4545.

Contact Information

Primary practice address
870 State Farm Rd Suite 101 Boone NC 28607-4861
Phone: (828) 264-4545
Fax: (282) 264-4544
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 94-00056 North Carolina
Allopathic & Osteopathic Physicians / Otolaryngic Allergy 207YX0602X 94-00056 North Carolina

Profile Details

NPI number 1164481727
LBN Legal business name Ford, Charles W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Mar 12th, 2014 - 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 1164481727 NPPES
North Carolina MEDICAID 8932979

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