Greeson, Charles Stewart

Greeson, Charles Stewart is an individual health care provider with primary practice located at 6300 Main St , Zachary LA 70791-4037. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Greeson, Charles Stewart can be contacted via phone (225) 658-4000.

Contact Information

Primary practice address
6300 Main St Zachary LA 70791-4037
Phone: (225) 658-4000
Fax: (225) 763-9997
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 010621 Louisiana
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 010621 Louisiana

Profile Details

NPI number 1295788040
LBN Legal business name Greeson, Charles Stewart
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated May 17th, 2021 - about 4 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 1295788040 NPPES
Louisiana MEDICAID 1301337

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