Stewart, Charles W

Stewart, Charles W is an individual health care provider with primary practice located at 51 N Dunlap St , Memphis TN 38105. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as his primary health care specialty. Stewart, Charles W can be contacted via phone (901) 287-7337.

Contact Information

Primary practice address
51 N Dunlap St Memphis TN 38105
Phone: (901) 287-7337
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 10474 Tennessee

Profile Details

NPI number 1851359665
LBN Legal business name Stewart, Charles W
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated Mar 17th, 2020 - about 5 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 1851359665 NPPES
Tennessee MEDICAID 3648058

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