Gates, Charles Wayne

Gates, Charles Wayne is an sole proprietor health care provider with primary practice located at 3360 Emmaus Rd , Harrisonburg VA 22801-2685. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, which is considered as his primary health care specialty. Gates, Charles Wayne can be contacted via phone (540) 433-9399.

Contact Information

Primary practice address
3360 Emmaus Rd Harrisonburg VA 22801-2685
Phone: (540) 433-9399
Fax: (540) 433-1395
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X 0101037916 Virginia

Profile Details

NPI number 1649263757
LBN Legal business name Gates, Charles Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2005
Last updated Nov 3rd, 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 1649263757 NPPES
Virginia Other 462160 ANTHEM PROVIDER ID NUMBER
Virginia MEDICAID 006503403 ANTHEM PROVIDER ID NUMBER

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