Thomas, Charles W.

Thomas, Charles W. is an individual health care provider with primary practice located at 1200 Avenue G , Marrero LA 70072-3765. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Thomas, Charles W. can be contacted via phone (504) 349-6713.

Contact Information

Primary practice address
1200 Avenue G Marrero LA 70072-3765
Phone: (504) 349-6713
Fax: (504) 349-6733
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 10747R Louisiana

Profile Details

NPI number 1326043084
LBN Legal business name Thomas, Charles W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326043084 NPPES
Mississippi MEDICAID 08251588
Mississippi MEDICAID 1996351

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