Van Der Heide, Charles Joep

Van Der Heide, Charles Joep is an individual health care provider with primary practice located at 24 Lee Dr , St Augustine FL 32080-5981. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Van Der Heide, Charles Joep can be contacted via phone (904) 461-7856.

Contact Information

Primary practice address
24 Lee Dr St Augustine FL 32080-5981
Phone: (904) 461-7856
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 22269 Minnesota
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 33037020 Wisconsin
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 0101239258 Virginia

Profile Details

NPI number 1790998425
LBN Legal business name Van Der Heide, Charles Joep
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2007
Last updated Jul 8th, 2007 - about 19 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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