Carter, Charles C

Carter, Charles C is an individual health care provider with primary practice located at 1015 E Broadway St Ste 102 , Altus OK 73521-5506. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Carter, Charles C can be contacted via phone (580) 480-1600.

Contact Information

Primary practice address
1015 E Broadway St Ste 102 Altus OK 73521-5506
Phone: (580) 480-1600
Fax: (580) 480-1601
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 19154 Oklahoma

Profile Details

NPI number 1730129750
LBN Legal business name Carter, Charles C
Credentials MD DPH PLLC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Sep 16th, 2021 - about 4 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 1730129750 NPPES
Arkansas Other C-8500 ARKANSAS STATE LICENSE #
Arkansas Other 19154 ARKANSAS STATE LICENSE #
Arkansas Other 300522327 ARKANSAS STATE LICENSE #
Arkansas MEDICAID 10016810B ARKANSAS STATE LICENSE #
Arkansas MEDICAID 100116810D ARKANSAS STATE LICENSE #

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