Hendricks, Charles W
Hendricks, Charles W is an individual health care provider with primary practice located at 8 Richland Medical Park Dr Suite 300, Columbia SC 29203-8005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Hendricks, Charles W can be contacted via phone (803) 256-6511.Contact Information
Primary practice address
8 Richland Medical Park Dr Suite 300
Columbia SC 29203-8005
Phone: (803) 256-6511
Fax: (803) 744-4731
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 8093 | South Carolina |
Profile Details
| NPI number | 1194724799 |
|---|---|
| LBN Legal business name | Hendricks, Charles W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2005 |
| Last updated | Jan 25th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194724799 | NPPES |
| South Carolina | MEDICAID | 80931 | |
| South Carolina | Other | 8093 |
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