Chong, Charles Fernandez

Chong, Charles Fernandez is an individual health care provider with primary practice located at 936 Sharpe Hospital Rd William Sharpe Jr. Hospital, Weston WV 26452-8550. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Chong, Charles Fernandez can be contacted via phone (304) 269-1210.

Contact Information

Primary practice address
936 Sharpe Hospital Rd William Sharpe Jr. Hospital Weston WV 26452-8550
Phone: (304) 269-1210
Fax: (304) 269-0502
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 11547 West Virginia

Profile Details

NPI number 1154453686
LBN Legal business name Chong, Charles Fernandez
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2007
Last updated Apr 23rd, 2012 - about 13 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 1154453686 NPPES
West Virginia MEDICAID 0054223000
West Virginia Other WV0497A

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