Lallier, Charles Wesley
Lallier, Charles Wesley is an individual health care provider with primary practice located at 4022 Freedom Lake Dr , Durham NC 27704. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Lallier, Charles Wesley can be contacted via phone (919) 477-2202.Contact Information
Primary practice address
4022 Freedom Lake Dr
Durham NC 27704
Phone: (919) 477-2202
Fax: (919) 471-2270
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 28057 | North Carolina |
Profile Details
| NPI number | 1669437828 |
|---|---|
| LBN Legal business name | Lallier, Charles Wesley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2006 |
| Last updated | Jan 27th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669437828 | NPPES |
| North Carolina | Other | 50624 | BSBC STATE FEDERAL NC HEA |
| North Carolina | Other | 4221816 | BSBC STATE FEDERAL NC HEA |
| North Carolina | Other | 269611 | BSBC STATE FEDERAL NC HEA |
| North Carolina | Other | 1250106 | BSBC STATE FEDERAL NC HEA |
| North Carolina | MEDICAID | 8950624 | BSBC STATE FEDERAL NC HEA |
| North Carolina | Other | 50121 | BSBC STATE FEDERAL NC HEA |
| North Carolina | Other | 8950624 | BSBC STATE FEDERAL NC HEA |
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