Knight, Charles Ed

Knight, Charles Ed is an sole proprietor health care provider with primary practice located at 9601 Lile Dr Ste 240 , Little Rock AR 72205-6342. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Knight, Charles Ed can be contacted via phone (501) 224-3008.

Contact Information

Primary practice address
9601 Lile Dr Ste 240 Little Rock AR 72205-6342
Fax: (501) 224-3009
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 2163 Arkansas

Profile Details

NPI number 1104935782
LBN Legal business name Knight, Charles Ed
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2006
Last updated Jul 9th, 2007 - about 17 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 1104935782 NPPES
Arkansas Other 56262 BLUE CROSS PROVIDER #
Arkansas Other 15086000040 BLUE CROSS PROVIDER #

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