Charlie, Julius Ray

Charlie, Julius Ray is an individual health care provider with primary practice located at 6944 E Broadway Rd , Mesa AZ 85208-1916. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Charlie, Julius Ray can be contacted via phone (480) 800-4890.

Contact Information

Primary practice address
6944 E Broadway Rd Mesa AZ 85208-1916
Phone: (480) 800-4890
Fax: (480) 427-4766
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD2006-0839 New Mexico
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 40519 Arizona

Profile Details

NPI number 1063479707
LBN Legal business name Charlie, Julius Ray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Nov 6th, 2019 - about 7 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 1063479707 NPPES
Arizona MEDICAID 865090

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