Maile, Charles W
Maile, Charles W is an individual health care provider with primary practice located at 520 North Third , Sandpoint ID 83864-1507. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Ultrasound, Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Maile, Charles W can be contacted via phone (208) 263-1441.Contact Information
Primary practice address
520 North Third
Sandpoint ID 83864-1507
Phone: (208) 263-1441
Fax: (208) 265-1278
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | 25618 | Minnesota |
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | 25618 | Minnesota |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 25618 | Minnesota |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | M9573 | Idaho |
Profile Details
| NPI number | 1841291861 |
|---|---|
| LBN Legal business name | Maile, Charles W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Feb 5th, 2010 - about 16 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 | 1841291861 | NPPES |
| Idaho | MEDICAID | 807532600 | |
| Idaho | MEDICAID | 787573800 |
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