Thomas, Charles Edwin

Thomas, Charles Edwin is an sole proprietor health care provider with primary practice located at 2034 Chestnut St , Montgomery AL 36106-1111. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Thomas, Charles Edwin can be contacted via phone (334) 269-0212.

Contact Information

Primary practice address
2034 Chestnut St Montgomery AL 36106-1111
Phone: (334) 269-0212
Fax: (334) 269-2144
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 11300 Alabama
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 11300 Alabama

Profile Details

NPI number 1205916590
LBN Legal business name Thomas, Charles Edwin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2006
Last updated Jul 25th, 2008 - about 16 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 1205916590 NPPES
Alabama MEDICAID TH000086803

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