Isbell, Charles P

Isbell, Charles P is an individual health care provider with primary practice located at 5414 S Broadway Ave , Tyler TX 75703-1335. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Isbell, Charles P can be contacted via phone (903) 581-1601.

Contact Information

Primary practice address
5414 S Broadway Ave Tyler TX 75703-1335
Phone: (903) 581-1601
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X J0014 Texas

Profile Details

NPI number 1497700785
LBN Legal business name Isbell, Charles P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated May 12th, 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 1497700785 NPPES
Texas MEDICAID 137957014
Texas Other 1N3830
Texas MEDICAID 137957015
Texas Other 1N3844
Texas Other Q00053119

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