Provider Demographics
NPI:1437434495
Name:CHARLES E WHISLER, M.D., INC
Entity Type:Organization
Organization Name:CHARLES E WHISLER, M.D., INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:WHISLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:831-373-7733
Mailing Address - Street 1:966 CASS ST
Mailing Address - Street 2:STE 100
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-4539
Mailing Address - Country:US
Mailing Address - Phone:831-373-7733
Mailing Address - Fax:831-373-2090
Practice Address - Street 1:966 CASS ST
Practice Address - Street 2:STE 100
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-4539
Practice Address - Country:US
Practice Address - Phone:831-373-7733
Practice Address - Fax:831-373-2090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-20
Last Update Date:2011-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA909232207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty