Mcwilliams, Charles A

Mcwilliams, Charles A is an individual health care provider with primary practice located at 14101 N Eastern Ave Suite C, Edmond OK 73013-5859. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Mcwilliams, Charles A can be contacted via phone (405) 340-1279.

Contact Information

Primary practice address
14101 N Eastern Ave Suite C Edmond OK 73013-5859
Phone: (405) 340-1279
Fax: (405) 340-1605
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 11817 Oklahoma

Profile Details

NPI number 1073570578
LBN Legal business name Mcwilliams, Charles A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Apr 18th, 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 1073570578 NPPES
Oklahoma MEDICAID 100110720A
Oklahoma Other 202130641013

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