Nicolette, Charles C

Nicolette, Charles C is an individual health care provider with primary practice located at 500 W 4Th St , Odessa TX 79761-5001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Nicolette, Charles C can be contacted via phone (469) 757-1000.

Contact Information

Primary practice address
500 W 4Th St Odessa TX 79761-5001
Phone: (469) 757-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X E3074 Texas

Profile Details

NPI number 1255357323
LBN Legal business name Nicolette, Charles C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Sep 25th, 2007 - about 19 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1255357323 NPPES
Texas MEDICAID PENDING
Texas Other 8F4462

Popular Providers