Wadsworth, Charles E.
Wadsworth, Charles E. is an individual health care provider with primary practice located at 9101 Stony Point Dr , Richmond VA 23235. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Wadsworth, Charles E. can be contacted via phone (804) 330-9105.Contact Information
Primary practice address
9101 Stony Point Dr
Richmond VA 23235
Phone: (804) 330-9105
Fax: (804) 287-6119
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0110 840588 | Virginia |
Profile Details
NPI number | 1316903719 |
---|---|
LBN Legal business name | Wadsworth, Charles E. |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 25th, 2006 |
Last updated | Oct 28th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1316903719 | NPPES |
Virginia | Other | 541203530 | TAX IDENTIFICATION NUMBER |
Virginia | MEDICAID | 010187974 | TAX IDENTIFICATION NUMBER |
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