Guimaraes, Charles J.S.

Guimaraes, Charles J.S. is an individual health care provider with primary practice located at 1900 Red Rock Dr. Rehoboth Mckinley Christian Health Care Services, Gallup NM 87301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Guimaraes, Charles J.S. can be contacted via phone (505) 863-7200.

Contact Information

Primary practice address
1900 Red Rock Dr. Rehoboth Mckinley Christian Health Care Services Gallup NM 87301
Phone: (505) 863-7200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 99-116 New Mexico

Profile Details

NPI number 1003894130
LBN Legal business name Guimaraes, Charles J.S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated Jul 8th, 2007 - about 18 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 1003894130 NPPES
Arizona MEDICAID 465668
Arizona Other NM004683
Arizona Other PROVP12644
Arizona MEDICAID 84984872
Arizona Other 10002629
Arizona Other 85031326887301A023

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