Probst, Charles Erickson

Probst, Charles Erickson is an individual health care provider with primary practice located at 2313 Highway 15 N , Laurel MS 39440-1805. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Probst, Charles Erickson can be contacted via phone (601) 649-2775.

Contact Information

Primary practice address
2313 Highway 15 N Laurel MS 39440-1805
Phone: (601) 649-2775
Fax: (601) 579-5240
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DO1073 Alabama
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20941 Mississippi

Profile Details

NPI number 1477864585
LBN Legal business name Probst, Charles Erickson
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2010
Last updated Aug 11th, 2020 - 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 1477864585 NPPES
Mississippi MEDICAID 07689072

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