Reidhead, Charles Tyler

Reidhead, Charles Tyler is an individual health care provider with primary practice located at 200 W. Hospital Drive , Whiteriver AZ 85941. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Reidhead, Charles Tyler can be contacted via phone (928) 338-4911.

Contact Information

Primary practice address
200 W. Hospital Drive Whiteriver AZ 85941
Phone: (928) 338-4911
Fax: (928) 338-1122
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25107 Arizona

Profile Details

NPI number 1912913716
LBN Legal business name Reidhead, Charles Tyler
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Dec 15th, 2008 - 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 1912913716 NPPES
Arizona MEDICAID 1780614008
Arizona MEDICAID 1295993376
Arizona MEDICAID 1629236716
Arizona MEDICAID 1871523191
Arizona MEDICAID 409856

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