Lawless, Charles Pittman

Lawless, Charles Pittman is an individual health care provider with primary practice located at 1777 East Clark Steet Suite 310, Pocatello ID 83201-3357. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Lawless, Charles Pittman can be contacted via phone (208) 232-4133.

Contact Information

Primary practice address
1777 East Clark Steet Suite 310 Pocatello ID 83201-3357
Phone: (208) 232-4133
Fax: (208) 232-4133
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X M3434 Idaho

Profile Details

NPI number 1205895208
LBN Legal business name Lawless, Charles Pittman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Jul 8th, 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 1205895208 NPPES
Idaho Other 000010005308 REGENCE BLUE SHIELD
Idaho Other 07302 REGENCE BLUE SHIELD

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