Deberardinis, Charles A

Deberardinis, Charles A is an individual health care provider with primary practice located at 738 Bryant St Suite A, Statesville NC 28677-4189. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Deberardinis, Charles A can be contacted via phone (704) 873-1189.

Contact Information

Primary practice address
738 Bryant St Suite A Statesville NC 28677-4189
Phone: (704) 873-1189
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X N1610 Texas
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 2010-00361 North Carolina
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 201000361 North Carolina

Profile Details

NPI number 1659311207
LBN Legal business name Deberardinis, Charles A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Mar 29th, 2021 - about 5 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 1659311207 NPPES
North Carolina MEDICAID 5913902

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