Wood, Charles G

Wood, Charles G is an individual health care provider with primary practice located at 4950 Essen Lane , Baton Rouge LA 70809-3482. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Wood, Charles G can be contacted via phone (225) 767-0847.

Contact Information

Primary practice address
4950 Essen Lane Baton Rouge LA 70809-3482
Fax: (225) 766-1417
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X MT182043 Pennsylvania
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X MD.201591 Louisiana

Profile Details

NPI number 1740346543
LBN Legal business name Wood, Charles G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated Apr 6th, 2017 - about 9 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 1740346543 NPPES
Louisiana MEDICAID 1019551

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