Drake, Charles R.

Drake, Charles R. is an individual health care provider with primary practice located at 1829 W. Plaza Drive , Winchester VA 22601-6365. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Drake, Charles R. can be contacted via phone (540) 667-6161.

Contact Information

Primary practice address
1829 W. Plaza Drive Winchester VA 22601-6365
Fax: (540) 722-2744
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101035745 Virginia
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 0101035745 Virginia

Profile Details

NPI number 1235194242
LBN Legal business name Drake, Charles R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Feb 28th, 2011 - about 14 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 1235194242 NPPES
Virginia MEDICAID 006041647
Virginia Other 110028381
Virginia MEDICAID 1725296502

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