Charlton, Wesley

Charlton, Wesley is an individual health care provider with primary practice located at 829 Chief Eddie Hoffman Highway , Bethel AK 99559. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Charlton, Wesley can be contacted via phone (907) 543-6300.

Contact Information

Primary practice address
829 Chief Eddie Hoffman Highway Bethel AK 99559
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 123 Alaska
Eye and Vision Services Providers / Optometrist 152W00000X OL-046 Guam

Profile Details

NPI number 1174744155
LBN Legal business name Charlton, Wesley
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2007
Last updated Jun 9th, 2017 - about 9 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 1174744155 NPPES
Alaska MEDICAID OD11233

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