Keblusek, Charles W

Keblusek, Charles W is an sole proprietor health care provider with primary practice located at 1409 Huguenot Rd , Midlothian VA 23113-2603. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Keblusek, Charles W can be contacted via phone (804) 706-5827.

Contact Information

Primary practice address
1409 Huguenot Rd Midlothian VA 23113-2603
Phone: (804) 706-5827
Fax: (804) 706-5819
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 0101027033 Virginia

Profile Details

NPI number 1477586766
LBN Legal business name Keblusek, Charles W
Credentials M.D.,F.A.C.O.G.,P.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 9th, 2006
Last updated Aug 19th, 2008 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477586766 NPPES
Virginia MEDICAID 1477586766
Virginia MEDICAID 006206841

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