Rhodus, Charles Dale

Rhodus, Charles Dale is an individual health care provider with primary practice located at 5826 New Copeland Rd , Tyler TX 75703-6217. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Rhodus, Charles Dale can be contacted via phone (903) 592-7200.

Contact Information

Primary practice address
5826 New Copeland Rd Tyler TX 75703-6217
Phone: (903) 592-7200
Fax: (903) 592-7211
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 1375 Texas

Profile Details

NPI number 1962495341
LBN Legal business name Rhodus, Charles Dale
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Jun 21st, 2012 - about 12 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 1962495341 NPPES
Texas Other 161772848 COMMERCIAL
Texas Other 8X2110 COMMERCIAL
Texas Other P00383164 COMMERCIAL
Texas MEDICAID 046291302 COMMERCIAL

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