Charles W Stine Od Pc

LBN: Charles W Stine Od Pc
Charles W Stine Od Pc is an health care organization with primary practice located at 4 Pendleton St , Middleburg VA 20117. The organization recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as the primary health care specialty. Charles W Stine Od Pc can be contacted via phone (540) 687-3634, or through Kovak, Andrea Chanel via phone (540) 687-3634.

Contact Information

Primary practice address
4 Pendleton St Middleburg VA 20117
Fax: (540) 687-3378
Website:
Authorized official contact:
Name: Kovak, Andrea Chanel

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 0618000238 Virginia

Profile Details

NPI number 1346455748
LBN Legal business name Charles W Stine Od Pc
DBA Doing business as
Authorized official Kovak, Andrea Chanel
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2007
Last updated Jul 7th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346455748 NPPES
Virginia Other 192987 BLUECROSS BLUESHIELD
Virginia MEDICAID 009231919 BLUECROSS BLUESHIELD
Virginia Other 0694647 BLUECROSS BLUESHIELD
Virginia Other 320412 BLUECROSS BLUESHIELD
Virginia Other 412947 BLUECROSS BLUESHIELD
Virginia Other 320412 BLUECROSS BLUESHIELD

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