White, Charles C

White, Charles C is an sole proprietor health care provider with primary practice located at 40 Church Ave Ste 201, Wareham MA 02571-2093. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. White, Charles C can be contacted via phone (508) 295-3193.

Contact Information

Primary practice address
40 Church Ave Ste 201 Wareham MA 02571-2093
Phone: (508) 295-3193
Fax: (508) 295-4635
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 53631 Massachusetts

Profile Details

NPI number 1225034317
LBN Legal business name White, Charles C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2005
Last updated Feb 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 1225034317 NPPES
Massachusetts MEDICAID 110071159A

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