Bloodsworth, Charles E

Bloodsworth, Charles E is an individual health care provider with primary practice located at 4200 Houma Blvd , Metairie LA 70006-2970. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Bloodsworth, Charles E can be contacted via phone (504) 779-5515.

Contact Information

Primary practice address
4200 Houma Blvd Metairie LA 70006-2970
Phone: (504) 779-5515
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 101632 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP05006 Louisiana

Profile Details

NPI number 1356418982
LBN Legal business name Bloodsworth, Charles E
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Dec 6th, 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 1356418982 NPPES
Louisiana MEDICAID 1509043

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