Aycock, Charles W

Aycock, Charles W is an individual health care provider with primary practice located at 500 Rue De La Vie St Suite 100, Baton Rouge LA 70817-5126. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Aycock, Charles W can be contacted via phone (225) 201-2000.

Contact Information

Primary practice address
500 Rue De La Vie St Suite 100 Baton Rouge LA 70817-5126
Phone: (225) 201-2000
Fax: (225) 201-2110
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 014133 Louisiana

Profile Details

NPI number 1609852730
LBN Legal business name Aycock, Charles W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2005
Last updated Oct 10th, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609852730 NPPES
Louisiana MEDICAID 1323675

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