Dellinger, Charles T

Dellinger, Charles T is an individual health care provider with primary practice located at 2140 Smith St , Orange Park FL 32073-5554. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Dellinger, Charles T can be contacted via phone (904) 269-2140.

Contact Information

Primary practice address
2140 Smith St Orange Park FL 32073-5554
Phone: (904) 269-2140
Fax: (904) 264-3018
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X ME24210 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME24210 Florida

Profile Details

NPI number 1114990157
LBN Legal business name Dellinger, Charles T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Jan 24th, 2023 - about 3 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 1114990157 NPPES
Florida MEDICAID 035767700

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