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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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 |
Popular Providers
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Brantley, David S
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