Lilly, Charles

Lilly, Charles is an individual health care provider with primary practice located at 5 Mobile Infirmary Cir , Mobile AL 36607-3513. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Radiological Physics. Allopathic & Osteopathic Physicians / Radiological Physics is his primary health care specialty. Lilly, Charles can be contacted via phone (251) 460-0326.

Contact Information

Primary practice address
5 Mobile Infirmary Cir Mobile AL 36607-3513
Phone: (251) 460-0326
Fax: (251) 460-2846
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 7261 Alabama
Allopathic & Osteopathic Physicians / Radiological Physics 2085R0205X 7261 Alabama

Profile Details

NPI number 1467433193
LBN Legal business name Lilly, Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Sep 7th, 2010 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467433193 NPPES
Alabama MEDICAID 000003664

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