Staats, Charles Lionel

Staats, Charles Lionel is an individual health care provider with primary practice located at 1105 Central Expy N Ste 120, Allen TX 75013-6103. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Staats, Charles Lionel can be contacted via phone (972) 727-9995.

Contact Information

Primary practice address
1105 Central Expy N Ste 120 Allen TX 75013-6103
Phone: (972) 727-9995
Fax: (972) 727-8350
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA01276 Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA01276 Texas

Profile Details

NPI number 1144267048
LBN Legal business name Staats, Charles Lionel
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated May 22nd, 2013 - about 13 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 1144267048 NPPES
Texas Other 835N16 BC/BS TX - EFFECT. 02/01/2011
Texas Other TXB121232 BC/BS TX - EFFECT. 02/01/2011
Texas Other 87N310 BC/BS TX - EFFECT. 02/01/2011

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