Lummus, Charles David

Lummus, Charles David is an individual health care provider with primary practice located at 4100 Summerhill Rd , Texarkana TX 75503-2732. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Lummus, Charles David can be contacted via phone (903) 735-9802.

Contact Information

Primary practice address
4100 Summerhill Rd Texarkana TX 75503-2732
Phone: (903) 735-9802
Fax: (903) 735-9806
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 244601 Texas

Profile Details

NPI number 1124026000
LBN Legal business name Lummus, Charles David
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Jul 26th, 2014 - about 11 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 1124026000 NPPES
Arkansas MEDICAID 133803701
Arkansas MEDICAID 109671103
Arkansas Other 89557C
Arkansas Other 97890

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