Baldwin, Charles Eugene

Baldwin, Charles Eugene is an sole proprietor health care provider with primary practice located at 502 Madison Oak Drive Suite 330, San Antonio TX 78258-4298. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Baldwin, Charles Eugene can be contacted via phone (210) 481-3006.

Contact Information

Primary practice address
502 Madison Oak Drive Suite 330 San Antonio TX 78258-4298
Phone: (210) 481-3006
Fax: (210) 481-3793
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 7025 Alabama
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X M3884 Texas

Profile Details

NPI number 1104820554
LBN Legal business name Baldwin, Charles Eugene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2005
Last updated Nov 9th, 2010 - about 16 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 1104820554 NPPES
Tennessee MEDICAID 4041476
Tennessee MEDICAID 096153100
Tennessee Other 1710246
Tennessee MEDICAID 183103401
Tennessee Other 051009542
Tennessee Other 51009542BAL
Tennessee MEDICAID 000009542

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