Upchurch, Charles Thompson
Upchurch, Charles Thompson is an individual health care provider with primary practice located at 201 S College St Fl 12 , Charlotte NC 28244. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Upchurch, Charles Thompson can be contacted via phone (704) 489-3010.Contact Information
Primary practice address
201 S College St Fl 12
Charlotte NC 28244
Phone: (704) 489-3010
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 0101250247 | Virginia |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 2012-01215 | North Carolina |
Profile Details
| NPI number | 1831246636 |
|---|---|
| LBN Legal business name | Upchurch, Charles Thompson |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2007 |
| Last updated | Jan 31st, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831246636 | NPPES |
| South Carolina | MEDICAID | NC1651 | |
| South Carolina | MEDICAID | 1831246636 | |
| South Carolina | MEDICAID | 5921192 |
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