Anderson, Charles Collins

Anderson, Charles Collins is an sole proprietor health care provider with primary practice located at 2621 Grove Ave Emergency Department, Richmond VA 23220-4308. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Anderson, Charles Collins can be contacted via phone (804) 254-5433.

Contact Information

Primary practice address
2621 Grove Ave Emergency Department Richmond VA 23220-4308
Phone: (804) 254-5433
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0101026246 Virginia

Profile Details

NPI number 1477581643
LBN Legal business name Anderson, Charles Collins
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2006
Last updated Feb 24th, 2011 - about 13 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 1477581643 NPPES
Virginia MEDICAID 005868874
Virginia MEDICAID 005868866
Virginia MEDICAID 005869943
Virginia MEDICAID 005868882
Virginia MEDICAID 1477581643
Virginia MEDICAID 005868858

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