Hollingshead, Charles Aaron
Hollingshead, Charles Aaron is an individual health care provider with primary practice located at 1220 Jefferson St , Laurel MS 39440-4355. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hollingshead, Charles Aaron can be contacted via phone (601) 426-4739.Contact Information
Primary practice address
1220 Jefferson St
Laurel MS 39440-4355
Phone: (601) 426-4739
Fax: (601) 399-6281
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 04989 | Mississippi |
Profile Details
| NPI number | 1083657787 |
|---|---|
| LBN Legal business name | Hollingshead, Charles Aaron |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Apr 18th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083657787 | NPPES |
| Mississippi | MEDICAID | 05677267 |
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