Provider Demographics
NPI:1972547479
Name:VEALE, CHARLES J (MD)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:J
Last Name:VEALE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2160 MOORES MILL RD
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-8447
Mailing Address - Country:US
Mailing Address - Phone:334-826-1704
Mailing Address - Fax:334-826-1787
Practice Address - Street 1:2160 MOORES MILL RD
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-8447
Practice Address - Country:US
Practice Address - Phone:334-826-1704
Practice Address - Fax:334-826-1787
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-15
Last Update Date:2011-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL10204207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051048983OtherBC ALL LOCATIONS
AL080146617OtherRAILROAD MEDICARE
AL631224199OtherCOMMERCIALS USE TAX ID
AL051048983OtherBC ALL LOCATIONS
ALC72874Medicare UPIN