Page, Charles Eaton
Page, Charles Eaton is an individual health care provider with primary practice located at 1010 Three Springs Blvd , Durango CO 81301-8296. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Page, Charles Eaton can be contacted via phone (303) 306-7783.Contact Information
Primary practice address
1010 Three Springs Blvd
Durango CO 81301-8296
Phone: (303) 306-7783
Fax: (303) 306-7753
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD2010-0108 | New Mexico |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 38249 | Colorado |
Profile Details
NPI number | 1013020460 |
---|---|
LBN Legal business name | Page, Charles Eaton |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 17th, 2006 |
Last updated | Mar 17th, 2018 - about 6 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1013020460 | NPPES |
New Mexico | MEDICAID | 89375751 | |
New Mexico | Other | P00290341 | |
New Mexico | MEDICAID | 42682274 |
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