Herrington, Charles David

Herrington, Charles David is an individual health care provider with primary practice located at 1200 N State St Suite 500, Jackson MS 39202-2000. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Herrington, Charles David can be contacted via phone (601) 352-2273.

Contact Information

Primary practice address
1200 N State St Suite 500 Jackson MS 39202-2000
Phone: (601) 352-2273
Fax: (601) 714-3415
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT0263 Mississippi

Profile Details

NPI number 1043263122
LBN Legal business name Herrington, Charles David
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Feb 12th, 2018 - about 7 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 1043263122 NPPES
Mississippi MEDICAID 05985328

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