Rousseau, Charles Jason

Rousseau, Charles Jason is an individual health care provider with primary practice located at 225 E Wood St , Spartanburg SC 29303-3050. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Rousseau, Charles Jason can be contacted via phone (864) 583-4420.

Contact Information

Primary practice address
225 E Wood St Spartanburg SC 29303-3050
Phone: (864) 583-4420
Fax: (864) 542-1045
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 853 South Carolina
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 853 South Carolina

Profile Details

NPI number 1982803144
LBN Legal business name Rousseau, Charles Jason
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2007
Last updated Dec 14th, 2020 - about 5 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 1982803144 NPPES
North Carolina MEDICAID 5918608
North Carolina MEDICAID 008538
North Carolina Other P00993575

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