Becknell, Charlie
Becknell, Charlie is an individual health care provider with primary practice located at 250 Fountain Ct , Lexington KY 40509-1888. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Becknell, Charlie can be contacted via phone (859) 263-4444.Contact Information
Primary practice address
250 Fountain Ct
Lexington KY 40509-1888
Phone: (859) 263-4444
Fax: (859) 254-1814
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 21532 | Kentucky |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 21532 | Kentucky |
Profile Details
| NPI number | 1033112453 |
|---|---|
| LBN Legal business name | Becknell, Charlie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2005 |
| Last updated | Dec 16th, 2013 - 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 | 1033112453 | NPPES |
| Kentucky | Other | 0300056 | UNITED HEALTHCARE |
| Kentucky | Other | C03007 | UNITED HEALTHCARE |
| Kentucky | Other | 000000044793 | UNITED HEALTHCARE |
| Kentucky | MEDICAID | 64215320 | UNITED HEALTHCARE |
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