Speights, Charles Randolph

Speights, Charles Randolph is an individual health care provider with primary practice located at 1727 Imperial Blvd Bldg 3 , Lake Charles LA 70605-5393. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Speights, Charles Randolph can be contacted via phone (337) 485-1250.

Contact Information

Primary practice address
1727 Imperial Blvd Bldg 3 Lake Charles LA 70605-5393
Phone: (337) 485-1250
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 14774R Louisiana

Profile Details

NPI number 1821037383
LBN Legal business name Speights, Charles Randolph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Jan 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 1821037383 NPPES
Louisiana MEDICAID 1461741

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