White, Charles Wesley

White, Charles Wesley is an individual health care provider with primary practice located at 113 Deerfield Ln , Fayetteville WV 25840-6799. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. White, Charles Wesley can be contacted via phone (304) 890-1167.

Contact Information

Primary practice address
113 Deerfield Ln Fayetteville WV 25840-6799
Phone: (304) 890-1167
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1275247124
LBN Legal business name White, Charles Wesley
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2023
Last updated Jan 5th, 2023 - about 3 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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