Sumpter, Charles

Sumpter, Charles is an individual health care provider with primary practice located at 762 14Th St , Elko NV 89801-3413. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Sumpter, Charles can be contacted via phone (775) 738-5850.

Contact Information

Primary practice address
762 14Th St Elko NV 89801-3413
Phone: (775) 738-5850
Fax: (775) 738-5856
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2368 Nevada

Profile Details

NPI number 1891312682
LBN Legal business name Sumpter, Charles
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2020
Last updated Dec 2nd, 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 1891312682 NPPES
Nevada Other PA2368 PHYSICIAN ASSISTANT LICENSE - NEVADA

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