Tadlock, Charles Henry
Tadlock, Charles Henry is an individual health care provider with primary practice located at 6725 S. Eastern Ave. #6 , Las Vegas NV 89119. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Tadlock, Charles Henry can be contacted via phone (702) 474-0200.Contact Information
Primary practice address
6725 S. Eastern Ave. #6
Las Vegas NV 89119
Phone: (702) 474-0200
Fax: (702) 474-7165
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 8402 | Nevada |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 26067 | Arizona |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | G62878 | California |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 5937479-1205 | Utah |
Profile Details
| NPI number | 1861487878 |
|---|---|
| LBN Legal business name | Tadlock, Charles Henry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2005 |
| Last updated | Oct 19th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861487878 | NPPES |
| Nevada | Other | EN880Y | JULIE BROWN, FNP MEDICARE PIN |
| Nevada | MEDICAID | 394875 | JULIE BROWN, FNP MEDICARE PIN |
| Nevada | Other | FB250Z | JULIE BROWN, FNP MEDICARE PIN |
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