Deaton, Charles William

Deaton, Charles William is an individual health care provider with primary practice located at 500 S University Ave Ste 600, Little Rock AR 72205-5302. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Deaton, Charles William can be contacted via phone (501) 664-3914.

Contact Information

Primary practice address
500 S University Ave Ste 600 Little Rock AR 72205-5302
Phone: (501) 664-3914
Fax: (501) 664-5246
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X R3975 Arkansas
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X R3975 Arkansas

Profile Details

NPI number 1144217282
LBN Legal business name Deaton, Charles William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Dec 6th, 2011 - about 15 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 1144217282 NPPES
Arkansas MEDICAID 115746001

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