Mason, Charles Farley

Mason, Charles Farley is an individual health care provider with primary practice located at 2 St. Vincent Circle , Little Rock AR 72205-5499. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Mason, Charles Farley can be contacted via phone (501) 552-3000.

Contact Information

Primary practice address
2 St. Vincent Circle Little Rock AR 72205-5499
Phone: (501) 552-3000
Fax: (501) 552-4181
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X C7122 Arkansas

Profile Details

NPI number 1346232774
LBN Legal business name Mason, Charles Farley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Feb 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346232774 NPPES
Arkansas Other 1346232774 BCBS
Arkansas MEDICAID 112607001 BCBS

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