Mayfield, Charles Allen

Mayfield, Charles Allen is an sole proprietor health care provider with primary practice located at 5149 N 9Th Ave , Pensacola FL 32504-8779. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Mayfield, Charles Allen can be contacted via phone (850) 416-6303.

Contact Information

Primary practice address
5149 N 9Th Ave Pensacola FL 32504-8779
Phone: (850) 416-6303
Fax: (850) 416-2487
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 93019 Florida
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X ME93019 Florida

Profile Details

NPI number 1245207885
LBN Legal business name Mayfield, Charles Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 2nd, 2006
Last updated Feb 11th, 2016 - about 10 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 1245207885 NPPES
Florida Other 29722 BCBS
Florida MEDICAID 272593200 BCBS

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