Charles, Waldeck
Charles, Waldeck is an individual health care provider with primary practice located at 1400 N Gilbert Rd Suite H, Gilbert AZ 85234-2328. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Charles, Waldeck can be contacted via phone (602) 315-7033.Contact Information
Primary practice address
1400 N Gilbert Rd Suite H
Gilbert AZ 85234-2328
Phone: (602) 315-7033
Fax: (480) 813-4534
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 33521 | Arizona |
Profile Details
| NPI number | 1689752123 |
|---|---|
| LBN Legal business name | Charles, Waldeck |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Jan 16th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689752123 | NPPES |
| Arizona | MEDICAID | 915366 |
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