Charles D Washington
Emergency Physician Emergency Medical Services
5666 East State St
Rockford
, Illinois 61108-2472
Charles D Washington
Emergency Physician Emergency Medical Services
5666 East State St
Rockford
, Illinois 61108-2472
(815) 381-7582
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About
Features
Specialties
- Emergency Physician
- Emergency Medical Services
Languages spoken
- English
Location
First Address
- Charles D Washington
- 5666 East State St
- Rockford, IL
- Zip : 61108-2472
- Fax : (815) 381-7582
- Phone : (815) 226-2000
Second Address
- Charles D Washington
- 5666 East State St
- Rockford, IL
- Zip : 61108-2472
- Fax : (815) 381-7582
- Phone : (815) 226-2000
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FAQs
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What type of doctor is Charles D Washington
In what state does Charles D Washington practice in?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207P00000X | Emergency Physician | 53840-20 | WI |
| Y | 207PE0004X | Emergency Medical Services | 036109776 | IL |
National Provider Identifier
| NPI | 1124058599 |
|---|---|
| Provider Name | Charles D Washington |
| First Address | Rockford, IL 61108-2472 |
| Second Address | Rockford, IL 61108-2472 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/07/2006 |
| Last Update Date | 21/04/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 36109776 | (05) | IL |
| H93626 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.