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Contact Information

CHARLES S CHURCHWELL, DPM
4333 N JOSEY LN
SUITE 102
CARROLLTON, TX75010-4629
 Phone: 972-394-0825
 Fax: 972-394-0853
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for CHARLES S CHURCHWELL · (Male)

NPI # 1588664122
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 07/26/2005
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 0836
  • TX Medicaid 124340403
  • TX Other D0052191 DPS
Hospital affiliation(s) Not Available
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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