Walcott, Charles Christopher

Walcott, Charles Christopher is an individual health care provider with primary practice located at 40 Arch St , Johnson City NY 13790-2102. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Walcott, Charles Christopher can be contacted via phone (607) 763-6075.

Contact Information

Primary practice address
40 Arch St Johnson City NY 13790-2102
Phone: (607) 763-6075
Fax: (607) 763-5234
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 054219 Connecticut

Profile Details

NPI number 1790043446
LBN Legal business name Walcott, Charles Christopher
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2012
Last updated Aug 21st, 2015 - about 9 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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