Swallow, Charles Edward

Swallow, Charles Edward is an individual health care provider with primary practice located at 3264 N Evergreen Dr Ne , Grand Rapids MI 49525-9746. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Swallow, Charles Edward can be contacted via phone (616) 363-7339.

Contact Information

Primary practice address
3264 N Evergreen Dr Ne Grand Rapids MI 49525-9746
Phone: (616) 363-7339
Fax: (616) 361-5828
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 260525-1205 Utah
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 260525-1205 Utah
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 4301501168 Michigan

Profile Details

NPI number 1497752448
LBN Legal business name Swallow, Charles Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2005
Last updated May 4th, 2020 - about 4 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 1497752448 NPPES
Nevada MEDICAID 100505539
Nevada MEDICAID 924458
Nevada MEDICAID 8127936
Nevada MEDICAID 120391600
Nevada MEDICAID D1508
Nevada Other P00651563
Nevada MEDICAID 003921900
Nevada Other P00199656

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