Hollingsworth, Charlie

Hollingsworth, Charlie is an individual health care provider with primary practice located at 107 W 4Th St , Mt Vernon NY 10550-4002. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Hollingsworth, Charlie can be contacted via phone (914) 699-7200.

Contact Information

Primary practice address
107 W 4Th St Mt Vernon NY 10550-4002
Phone: (914) 699-7200
Fax: (914) 699-0837
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 000368 New York

Profile Details

NPI number 1952427924
LBN Legal business name Hollingsworth, Charlie
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2007
Last updated Dec 13th, 2011 - about 13 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 1952427924 NPPES
New York Other 000368 N.Y.S. LICENSE NUMBER

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