Daniels, Charles Shane

Daniels, Charles Shane is an sole proprietor health care provider with primary practice located at 4130 Oleander Dr Ste 100 , Wilmington NC 28403-6844. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Daniels, Charles Shane can be contacted via phone (910) 338-3494.

Contact Information

Primary practice address
4130 Oleander Dr Ste 100 Wilmington NC 28403-6844
Fax: (910) 338-0860
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 2023-01908 North Carolina
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X A94985 California
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 2023-01908 North Carolina
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 2023-01908 North Carolina

Profile Details

NPI number 1710167168
LBN Legal business name Daniels, Charles Shane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 13th, 2007
Last updated Jan 8th, 2024 - about 8 months 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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