Gaston, Charles V

Gaston, Charles V is an sole proprietor health care provider with primary practice located at 1601 Center St , Mobile AL 36604-1541. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Gaston, Charles V can be contacted via phone (251) 471-7008.

Contact Information

Primary practice address
1601 Center St Mobile AL 36604-1541
Phone: (251) 471-7008
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME144525 Florida
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X ME144525 Florida
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X MD.48566 Alabama

Profile Details

NPI number 1073990644
LBN Legal business name Gaston, Charles V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 2nd, 2015
Last updated Apr 9th, 2024 - about 8 months 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 1073990644 NPPES
Florida Other LJ1C2 BCBS
Florida Other NW171 BCBS
Florida MEDICAID 1114401-00 BCBS
Florida Other NW170 BCBS

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