Allgood, Charles D

Allgood, Charles D is an sole proprietor health care provider with primary practice located at 260 Walnut St , Centreville AL 35042-2332. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Allgood, Charles D can be contacted via phone (205) 926-4816.

Contact Information

Primary practice address
260 Walnut St Centreville AL 35042-2332
Fax: (205) 926-5688
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X S-374-TA-005 Alabama

Profile Details

NPI number 1164532297
LBN Legal business name Allgood, Charles D
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2006
Last updated Mar 7th, 2012 - about 14 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 1164532297 NPPES
Alabama Other S-374-TA-005 AL LICENSE
Alabama MEDICAID 000059437 AL LICENSE
Alabama Other 63-0782398 AL LICENSE

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