Short, Charles D.

Short, Charles D. is an individual health care provider with primary practice located at 5000 Hopyard Rd Suite 100, Pleasanton CA 94588-3348. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Short, Charles D. can be contacted via phone (925) 924-1600.

Contact Information

Primary practice address
5000 Hopyard Rd Suite 100 Pleasanton CA 94588-3348
Phone: (925) 924-1600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 647464 Texas

Profile Details

NPI number 1033301718
LBN Legal business name Short, Charles D.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2007
Last updated Aug 15th, 2007 - about 18 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 1033301718 NPPES
Texas Other 647464 LICENSE

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