Lostak, Charles John

Lostak, Charles John is an individual health care provider with primary practice located at 3450 W Wheatland Rd Pob Ii, Suite 245, Dallas TX 75237-3470. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Lostak, Charles John can be contacted via phone (214) 948-8856.

Contact Information

Primary practice address
3450 W Wheatland Rd Pob Ii, Suite 245 Dallas TX 75237-3470
Phone: (214) 948-8856
Fax: (214) 948-5516
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X H0576 Texas

Profile Details

NPI number 1477549913
LBN Legal business name Lostak, Charles John
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Nov 17th, 2011 - about 14 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 1477549913 NPPES
Texas MEDICAID 172179701

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