Van Wyk, Charl Stanhope
Van Wyk, Charl Stanhope is an individual health care provider with primary practice located at 800 Rose St Hx311, Lexington KY 40536-2379. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Van Wyk, Charl Stanhope can be contacted via phone (859) 323-5069.Contact Information
Primary practice address
800 Rose St Hx311
Lexington KY 40536-2379
Phone: (859) 323-5069
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | 39288 | Kentucky |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 39288 | Kentucky |
Profile Details
| NPI number | 1780622811 |
|---|---|
| LBN Legal business name | Van Wyk, Charl Stanhope |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Jun 22nd, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780622811 | NPPES |
| Ohio | MEDICAID | 2591039 | |
| Ohio | MEDICAID | 3810002596 | |
| Ohio | MEDICAID | 64092455 |
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