Dr.Charles W. Keblusek

LBN: Dr.Charles W. Keblusek
Dr.Charles W. Keblusek is an health care organization with primary practice located at 1409 Huguenot Rd Suite 101, Midlothian VA 23113-2603. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Dr.Charles W. Keblusek can be contacted via phone (804) 379-0094, or through Johnson, Lynne via phone (804) 379-0094.

Contact Information

Primary practice address
1409 Huguenot Rd Suite 101 Midlothian VA 23113-2603
Phone: (804) 379-0094
Fax: (804) 379-9701
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Lynne
Phone: (804) 379-0094

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101027033 Virginia

Profile Details

NPI number 1639351562
LBN Legal business name Dr.Charles W. Keblusek
DBA Doing business as
Authorized official Johnson, Lynne
Entity Organization
Organization subpart 1 No
Enumeration date Dec 3rd, 2007
Last updated Dec 27th, 2007 - about 18 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 1639351562 NPPES
Other 065061 ANTHEM PROVIDER NUMBER

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