Mayo, Charles W

Mayo, Charles W is an individual health care provider with primary practice located at 235 E State St , Saint Croix Falls WI 54024-4117. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Mayo, Charles W can be contacted via phone (715) 483-3221.

Contact Information

Primary practice address
235 E State St Saint Croix Falls WI 54024-4117
Phone: (715) 483-3221
Fax: (715) 483-0507
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 37910 Wisconsin

Profile Details

NPI number 1437290640
LBN Legal business name Mayo, Charles W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2007
Last updated Jan 15th, 2021 - about 4 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 1437290640 NPPES
Wisconsin MEDICAID 32285900

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