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Contact Information

CHARLES M CALDWELL, MD
1020 W FERTITTA BLVD
LEESVILLE, LA71446-4649
 Phone: 337-239-9041
 Fax: 337-239-5360
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Clinical Pathology/Laboratory Medicine

207ZP0105X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for CHARLES M CALDWELL · (Male)

NPI # 1528008695
Status Active
Credentials MD
Entity Individual
Enumeration date 06/07/2006
Last updated 03/25/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • LA License # MD.15763R
  • LA Medicaid 1722669
Hospital affiliation(s)
  • BEAUREGARD MEMORIAL HOSPITAL - (Acute Care)
    600 S PINE STREET
    DERIDDER, LA 70634
  • BYRD REGIONAL HOSPITAL - (Acute Care)
    1020 FERTITTA BLVD
    LEESVILLE, LA 71446
  • SABINE MEDICAL CENTER - (Acute Care)
    240 HIGHLAND DRIVE
    MANY, LA 71449
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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