Welford, Charles
Welford, Charles is an individual health care provider with primary practice located at 5707 Strathmoor Dr , Rockford IL 61107-5161. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Welford, Charles can be contacted via phone (815) 398-9386.Contact Information
Primary practice address
5707 Strathmoor Dr
Rockford IL 61107-5161
Phone: (815) 398-9386
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 3657923 | Illinois |
Profile Details
| NPI number | 1972586857 |
|---|---|
| LBN Legal business name | Welford, Charles |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 23rd, 2005 |
| Last updated | Aug 19th, 2011 - about 13 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 | 1972586857 | NPPES |
| Illinois | MEDICAID | 036057923 |
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