White, Charles Wesley

White, Charles Wesley is an sole proprietor health care provider with primary practice located at 14 Hospital Dr , Lexington TN 38351. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. White, Charles Wesley can be contacted via phone (731) 249-5804.

Contact Information

Primary practice address
14 Hospital Dr Lexington TN 38351
Phone: (731) 249-5804
Fax: (731) 249-5807
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4580 Tennessee

Profile Details

NPI number 1235120262
LBN Legal business name White, Charles Wesley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2005
Last updated May 23rd, 2018 - about 8 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 1235120262 NPPES
Tennessee MEDICAID 3130409
Tennessee Other 454070694
Tennessee Other 626001636
Tennessee Other P00038794
Tennessee Other 626001636
Tennessee Other JT1011
Tennessee Other 152668
Tennessee Other 4057252
Tennessee Other 626001636
Tennessee Other 27392
Tennessee Other 432626025
Tennessee MEDICAID Q020057

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