Tate, Charles W
Tate, Charles W is an individual health care provider with primary practice located at 1380 E Medical Center Dr Ste 1500, St George UT 84790-2123. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Tate, Charles W can be contacted via phone (435) 251-2500.Contact Information
Primary practice address
1380 E Medical Center Dr Ste 1500
St George UT 84790-2123
Phone: (435) 251-2500
Fax: (435) 656-4907
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 42885 | Colorado |
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 42885 | Colorado |
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 42885 | Colorado |
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 7724231-1205 | Utah |
Profile Details
NPI number | 1376583526 |
---|---|
LBN Legal business name | Tate, Charles W |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 7th, 2006 |
Last updated | Jun 27th, 2016 - about 8 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 | 1376583526 | NPPES |
Colorado | MEDICAID | 85581224 |
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