Lane, Charles Joseph

Lane, Charles Joseph is an individual health care provider with primary practice located at 3619 Old Forest Rd , Lynchburg VA 24501-2952. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Lane, Charles Joseph can be contacted via phone (434) 385-8190.

Contact Information

Primary practice address
3619 Old Forest Rd Lynchburg VA 24501-2952
Fax: (434) 385-5873
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 101244964 Virginia

Profile Details

NPI number 1699983353
LBN Legal business name Lane, Charles Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2007
Last updated Oct 31st, 2023 - about last year

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 1699983353 NPPES
Virginia Other 00Y142A01 MEDICARE PTAN
Virginia MEDICAID 1699983353 MEDICARE PTAN

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