Swanson, Charlie L

Swanson, Charlie L is an individual health care provider with primary practice located at 2900 Tyler Rd , Christiansburg VA 24073-6374. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Swanson, Charlie L can be contacted via phone (540) 731-7314.

Contact Information

Primary practice address
2900 Tyler Rd Christiansburg VA 24073-6374
Fax: (540) 731-7377
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 24718 Alabama
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 2084P0800X Virginia

Profile Details

NPI number 1497775688
LBN Legal business name Swanson, Charlie L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Dec 11th, 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 1497775688 NPPES
North Carolina MEDICAID 89014CM
North Carolina Other 2062309A
North Carolina Other 144J0

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