Slaughter, Charles L

Slaughter, Charles L is an sole proprietor health care provider with primary practice located at 820 Cooper Rd Suite J, Jackson MS 39212-4099. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Slaughter, Charles L can be contacted via phone (601) 372-9229.

Contact Information

Primary practice address
820 Cooper Rd Suite J Jackson MS 39212-4099
Phone: (601) 372-9229
Fax: (601) 372-9990
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT0161 Mississippi

Profile Details

NPI number 1912068552
LBN Legal business name Slaughter, Charles L
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2006
Last updated Jul 8th, 2007 - about 19 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1912068552 NPPES
Mississippi MEDICAID 00489050

Popular Providers