Provider Demographics
NPI:1346426111
Name:CHARLES N APRILL M D PMC
Entity type:Organization
Organization Name:CHARLES N APRILL M D PMC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:N
Authorized Official - Last Name:APRILL
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:504-469-9641
Mailing Address - Street 1:PO BOX 15257
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70175-5257
Mailing Address - Country:US
Mailing Address - Phone:504-469-9641
Mailing Address - Fax:504-469-9642
Practice Address - Street 1:1919 VETERANS MEMORIAL BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70062-4003
Practice Address - Country:US
Practice Address - Phone:504-469-9641
Practice Address - Fax:504-469-9642
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-11
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD 010527174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAB89247Medicare UPIN