Provider Demographics
NPI:1730379231
Name:SCHLOSSER, CHARLES EDWARD III (MD,MPH)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:EDWARD
Last Name:SCHLOSSER
Suffix:III
Gender:M
Credentials:MD,MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:4520 WICHERS DR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:MARRERO
Mailing Address - State:LA
Mailing Address - Zip Code:70072-3135
Mailing Address - Country:US
Mailing Address - Phone:504-324-4337
Mailing Address - Fax:504-324-5724
Practice Address - Street 1:4520 WICHERS DR
Practice Address - Street 2:SUITE 202
Practice Address - City:MARRERO
Practice Address - State:LA
Practice Address - Zip Code:70072-3135
Practice Address - Country:US
Practice Address - Phone:504-324-4337
Practice Address - Fax:504-324-5724
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-31
Last Update Date:2011-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.0264302081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1038067Medicaid
LA4N360Medicare PIN