Shade, Charnette H

Shade, Charnette H is an individual health care provider with primary practice located at 91 Enterprise Dr , Rocky Mount NC 27804-9590. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Shade, Charnette H can be contacted via phone (252) 451-3100.

Contact Information

Primary practice address
91 Enterprise Dr Rocky Mount NC 27804-9590
Phone: (252) 451-3100
Fax: (252) 937-3106
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 200400745 North Carolina

Profile Details

NPI number 1942294764
LBN Legal business name Shade, Charnette H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Mar 8th, 2019 - 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 1942294764 NPPES
North Carolina Other 9568009 CIGNA HEALTHCARE
North Carolina Other D5324 CIGNA HEALTHCARE
North Carolina Other 1902525 CIGNA HEALTHCARE
North Carolina Other 137AJ CIGNA HEALTHCARE
North Carolina MEDICAID 89137AJ CIGNA HEALTHCARE

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