Lane, Charles S
Lane, Charles S is an sole proprietor health care provider with primary practice located at 300 Werner St , Hot Springs AR 71913-6406. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Lane, Charles S can be contacted via phone (501) 802-0013.Contact Information
Primary practice address
300 Werner St
Hot Springs AR 71913-6406
Phone: (501) 802-0013
Fax: (501) 623-1465
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | C5421 | Arkansas |
Profile Details
| NPI number | 1427051663 |
|---|---|
| LBN Legal business name | Lane, Charles S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2005 |
| Last updated | May 4th, 2012 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427051663 | NPPES |
| Arkansas | Other | 260001316 | RAILROAD MEDICARE |
| Arkansas | Other | B002 | RAILROAD MEDICARE |
| Arkansas | MEDICAID | 102459001 | RAILROAD MEDICARE |
| Arkansas | Other | 53036 | RAILROAD MEDICARE |
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