Patrick A. Charles Md Pc

LBN: Patrick A. Charles Md Pc
Patrick A. Charles Md Pc is an health care organization with primary practice located at 18601 Mack Ave , Detroit MI 48236-3250. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Patrick A. Charles Md Pc can be contacted via phone (313) 640-1250, or through Charles, Patrick Anselm via phone (313) 640-1250.

Contact Information

Primary practice address
18601 Mack Ave Detroit MI 48236-3250
Phone: (313) 640-1250
Fax: (313) 640-1291
Website:
Map and Directions
Authorized official contact:
Name: Charles, Patrick Anselm Doctor of Medicine (MD)
Phone: (313) 640-1250

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301058495 Michigan

Profile Details

NPI number 1205878824
LBN Legal business name Patrick A. Charles Md Pc
DBA Doing business as
Authorized official Charles, Patrick Anselm Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 2006
Last updated Dec 18th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205878824 NPPES
Michigan MEDICAID 2876665

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