Mahan, Charles Keith

Mahan, Charles Keith is an individual health care provider with primary practice located at 2600 Tarawa Ct , Norfolk VA 23521-3235. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Mahan, Charles Keith can be contacted via phone (757) 462-5544.

Contact Information

Primary practice address
2600 Tarawa Ct Norfolk VA 23521-3235
Phone: (757) 462-5544
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1659529964
LBN Legal business name Mahan, Charles Keith
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2008
Last updated Aug 29th, 2008 - about 16 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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