Brickner, Charles D.

Brickner, Charles D. is an individual health care provider with primary practice located at 1351 Westgate Center Dr , Winston Salem NC 27103-2934. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Brickner, Charles D. can be contacted via phone (336) 718-7777.

Contact Information

Primary practice address
1351 Westgate Center Dr Winston Salem NC 27103-2934
Fax: (336) 718-7744
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD00039688 Washington

Profile Details

NPI number 1912909748
LBN Legal business name Brickner, Charles D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Oct 27th, 2020 - about 6 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 1912909748 NPPES
Washington MEDICAID 8278962

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