Poole, Charles T

Poole, Charles T is an individual health care provider with primary practice located at Professional Anesthesia Associates 131 Tucker Street, Suite 5, Jackson TN 38301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Poole, Charles T can be contacted via phone (931) 388-6404.

Contact Information

Primary practice address
Professional Anesthesia Associates 131 Tucker Street, Suite 5 Jackson TN 38301
Phone: (931) 388-6404
Fax: (931) 388-7119
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD24500 Tennessee

Profile Details

NPI number 1740254580
LBN Legal business name Poole, Charles T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2006
Last updated Aug 31st, 2018 - about 7 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 1740254580 NPPES
Tennessee MEDICAID 3076921

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