Welford, Charles

Welford, Charles is an individual health care provider with primary practice located at 5707 Strathmoor Dr , Rockford IL 61107-5161. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Welford, Charles can be contacted via phone (815) 398-9386.

Contact Information

Primary practice address
5707 Strathmoor Dr Rockford IL 61107-5161
Phone: (815) 398-9386
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 3657923 Illinois

Profile Details

NPI number 1972586857
LBN Legal business name Welford, Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated Aug 19th, 2011 - about 15 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 1972586857 NPPES
Illinois MEDICAID 036057923

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