Mccabe, Charles Thomas

Mccabe, Charles Thomas is an sole proprietor health care provider with primary practice located at 250 Meadowcrest St Suite 204, Gretna LA 70056-5257. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Mccabe, Charles Thomas can be contacted via phone (504) 392-4734.

Contact Information

Primary practice address
250 Meadowcrest St Suite 204 Gretna LA 70056-5257
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 3436 Louisiana

Profile Details

NPI number 1669598124
LBN Legal business name Mccabe, Charles Thomas
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2007
Last updated Jul 9th, 2007 - about 18 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 1669598124 NPPES
Louisiana MEDICAID 1834360

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