Mcenroe, Charles Scott

Mcenroe, Charles Scott is an individual health care provider with primary practice located at 3300 South Bldg 397 Little Neck Rd Ste 100, Va Beach VA 23452. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Mcenroe, Charles Scott can be contacted via phone (757) 470-5570.

Contact Information

Primary practice address
3300 South Bldg 397 Little Neck Rd Ste 100 Va Beach VA 23452
Phone: (757) 470-5570
Fax: (757) 227-3377
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 0101043739 Virginia

Profile Details

NPI number 1255303293
LBN Legal business name Mcenroe, Charles Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Nov 15th, 2007 - about 17 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 1255303293 NPPES
Other 020033755 MEDICARE RAILROAD
MEDICAID 007358105 MEDICARE RAILROAD

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