Charles B Shane Md Psc

LBN: Charles B Shane Md Psc
Charles B Shane Md Psc is an health care organization with primary practice located at 4001 Kresge Way Suite 315, Louisville KY 40207-4640. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as the primary health care specialty. Charles B Shane Md Psc can be contacted via phone (502) 895-7445, or through Shane, Charles B via phone (502) 895-7445.

Contact Information

Primary practice address
4001 Kresge Way Suite 315 Louisville KY 40207-4640
Phone: (502) 895-7445
Fax: (502) 895-6638
Website:
Map and Directions
Authorized official contact:
Name: Shane, Charles B Doctor of Medicine (MD)
Phone: (502) 895-7445

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 18903 Kentucky

Profile Details

NPI number 1215067780
LBN Legal business name Charles B Shane Md Psc
DBA Doing business as
Authorized official Shane, Charles B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 6th, 2007
Last updated Feb 24th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215067780 NPPES
Kentucky MEDICAID 64189038
Kentucky Other 000000068700

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