Wax, Charles Michael

Wax, Charles Michael is an sole proprietor health care provider with primary practice located at 2 Colgate Dr Suite 104, Forest Hill MD 21050-2624. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Wax, Charles Michael can be contacted via phone (410) 838-1051.

Contact Information

Primary practice address
2 Colgate Dr Suite 104 Forest Hill MD 21050-2624
Fax: (410) 838-5325
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X D0024542 Maryland

Profile Details

NPI number 1184658148
LBN Legal business name Wax, Charles Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2006
Last updated Sep 4th, 2008 - about 18 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 1184658148 NPPES
Maryland Other 290708 ALLIANCE PPO
Maryland Other 67160 ALLIANCE PPO
Maryland Other 010183 ALLIANCE PPO
Maryland Other 290708 ALLIANCE PPO
Maryland Other 3711148 ALLIANCE PPO
Maryland Other 1930001 ALLIANCE PPO
Maryland Other 34076 ALLIANCE PPO
Maryland Other 494353 ALLIANCE PPO
Maryland Other 1930001 ALLIANCE PPO
Maryland Other 290708 ALLIANCE PPO
Maryland Other 290708 ALLIANCE PPO
Maryland Other 8905CM ALLIANCE PPO
Maryland Other 010183 ALLIANCE PPO
Maryland Other 290708 ALLIANCE PPO
Maryland Other 4217234 ALLIANCE PPO

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