Mcbride, Charles Ira

Mcbride, Charles Ira is an sole proprietor health care provider with primary practice located at 1421 Oakdale Rd #2, Modesto CA 95355. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Mcbride, Charles Ira can be contacted via phone (209) 579-8800.

Contact Information

Primary practice address
1421 Oakdale Rd #2 Modesto CA 95355
Phone: (209) 579-8800
Fax: (209) 579-1407
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X G33080 California

Profile Details

NPI number 1114940301
LBN Legal business name Mcbride, Charles Ira
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2006
Last updated Jun 2nd, 2008 - about 16 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 1114940301 NPPES
California MEDICAID 4276218

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