Wasson, Charles M.

Wasson, Charles M. is an sole proprietor health care provider with primary practice located at 461 W Huron St Nomc Emercency Center, Pontiac MI 48341-1601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Wasson, Charles M. can be contacted via phone (248) 857-7440.

Contact Information

Primary practice address
461 W Huron St Nomc Emercency Center Pontiac MI 48341-1601
Phone: (248) 857-7440
Fax: (248) 857-6992
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 4301406119 Michigan
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 285836 New York

Profile Details

NPI number 1851348312
LBN Legal business name Wasson, Charles M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2006
Last updated Apr 20th, 2017 - about 9 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 1851348312 NPPES
Michigan MEDICAID 104494778

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