Gazoo, Charles

Gazoo, Charles is an individual health care provider with primary practice located at 501 Sunset Ln , Culpeper VA 22701-3917. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Gazoo, Charles can be contacted via phone (540) 829-4100.

Contact Information

Primary practice address
501 Sunset Ln Culpeper VA 22701-3917
Phone: (540) 829-4100
Fax: (540) 829-5757
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0001151059 Virginia

Profile Details

NPI number 1912029117
LBN Legal business name Gazoo, Charles
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2007
Last updated Jan 26th, 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 1912029117 NPPES
Virginia MEDICAID 010053099
Virginia Other 500018174

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