Mcglade, Charles T

Mcglade, Charles T is an individual health care provider with primary practice located at 1200 Gateway Loop , Springfield OR 97477-1176. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Mcglade, Charles T can be contacted via phone (036) 837-7305.

Contact Information

Primary practice address
1200 Gateway Loop Springfield OR 97477-1176
Phone: (036) 837-7305
Fax: (541) 204-1997
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD15480 Oregon
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X MD15480 Oregon

Profile Details

NPI number 1235154212
LBN Legal business name Mcglade, Charles T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Dec 22nd, 2021 - about 3 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 1235154212 NPPES
Washington MEDICAID 8296675
Washington MEDICAID MD8960R
Washington MEDICAID 210260
Washington MEDICAID MD8961R

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