Carleton, Charles Richard

Carleton, Charles Richard is an individual health care provider with primary practice located at 510 Stoner Ave , Shreveport LA 71101-4123. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Carleton, Charles Richard can be contacted via phone (318) 221-8411.

Contact Information

Primary practice address
510 Stoner Ave Shreveport LA 71101-4123
Phone: (318) 221-8411
Fax: (318) 429-5710
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A-099327 Iowa

Profile Details

NPI number 1457357469
LBN Legal business name Carleton, Charles Richard
Credentials MSN, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Jul 8th, 2007 - about 18 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 1457357469 NPPES
Iowa Other A-099327 IOWA BD OF NURSING

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