Charles Edward Self is a Medical in Minden, Louisiana. Charles Edward Self practices all healthcare services and medical treatments related to Medical. The NPI Number for Charles Edward Self is 1497741995. The last update date is 2007-07-09.
Charles Edward Self's current location address is 1611 Germantown Rd, Minden, Louisiana. You can contact this provider via phone number 3184696331 and fax number 3183772324. The mailing address for Charles Edward Self is 1611 Germantown Rd, Minden, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Edward Self |
|---|---|
| Address | 1611 Germantown Rd, Minden, Louisiana |
| Phone Number | 3184696331 |
| Fax Number | 3183772324 |
| Sole Proprietor | X |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1497741995 |
|---|---|
| Provider Enumeration Date | 2005-09-21 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 1611 Germantown Rd |
|---|---|
| City | Minden |
| State | Louisiana (LA) |
| Post Code | 710551301 |
| Phone Number | 3184696331 |
| Fax Number | 3183772324 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA.A10425.RX |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PA.A10425.RX | LA | LA STATE PA LICENSE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Charles Edward Self?
The Charles Edward Self has been issued the NPI (National Provider Identifier) 1497741995 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Charles Edward Self located?
The Charles Edward Self is located at 1611 Germantown Rd, Minden, LA 710551301.
What is Charles Edward Self's specialized field of practice, and what is the corresponding taxonomy classification code?
The Charles Edward Self's area of specialization is Medical, and the corresponding taxonomy code that categorizes this field of practice is 363Am0700X.
When did the Charles Edward Self receive its 1497741995?
The Charles Edward Self was issued its 1497741995 on 2005-09-21, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Charles Edward Self, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Charles Edward Self, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-09.