Hollingshead, Charles Aaron

Hollingshead, Charles Aaron is an individual health care provider with primary practice located at 1220 Jefferson St , Laurel MS 39440-4355. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hollingshead, Charles Aaron can be contacted via phone (601) 426-4739.

Contact Information

Primary practice address
1220 Jefferson St Laurel MS 39440-4355
Fax: (601) 399-6281
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 04989 Mississippi

Profile Details

NPI number 1083657787
LBN Legal business name Hollingshead, Charles Aaron
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Apr 18th, 2015 - about 9 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 1083657787 NPPES
Mississippi MEDICAID 05677267

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