West, Charles Shirley

West, Charles Shirley is an individual health care provider with primary practice located at 28 Medical Ridge Dr , Greenville SC 29605-4267. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. West, Charles Shirley can be contacted via phone (864) 271-7440.

Contact Information

Primary practice address
28 Medical Ridge Dr Greenville SC 29605-4267
Phone: (864) 271-7440
Fax: (864) 271-6001
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 6683 South Carolina

Profile Details

NPI number 1619915980
LBN Legal business name West, Charles Shirley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Jan 28th, 2014 - about 12 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 1619915980 NPPES
South Carolina MEDICAID 068831

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