Whitaker, Charles

Whitaker, Charles is an individual health care provider with primary practice located at 2150 Corbin Ave , New Britain CT 06053-2298. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Whitaker, Charles can be contacted via phone (860) 612-6305.

Contact Information

Primary practice address
2150 Corbin Ave New Britain CT 06053-2298
Phone: (860) 612-6305
Fax: (860) 612-6304
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 034387 Connecticut

Profile Details

NPI number 1942207220
LBN Legal business name Whitaker, Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Feb 2nd, 2024 - about 2 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 1942207220 NPPES
Connecticut MEDICAID 001343871

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