Wadsworth, Charles E.

Wadsworth, Charles E. is an individual health care provider with primary practice located at 9101 Stony Point Dr , Richmond VA 23235. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Wadsworth, Charles E. can be contacted via phone (804) 330-9105.

Contact Information

Primary practice address
9101 Stony Point Dr Richmond VA 23235
Phone: (804) 330-9105
Fax: (804) 287-6119
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110 840588 Virginia

Profile Details

NPI number 1316903719
LBN Legal business name Wadsworth, Charles E.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Oct 28th, 2020 - about 6 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 1316903719 NPPES
Virginia Other 541203530 TAX IDENTIFICATION NUMBER
Virginia MEDICAID 010187974 TAX IDENTIFICATION NUMBER

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