Radic, Charlotte R

Radic, Charlotte R is an individual health care provider with primary practice located at 800 Rose St , Lexington KY 40536-2619. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Radic, Charlotte R can be contacted via phone (859) 323-5931.

Contact Information

Primary practice address
800 Rose St Lexington KY 40536-2619
Phone: (859) 323-5931
Fax: (859) 257-7520
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 09000259A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 29843 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 3018119 Kentucky

Profile Details

NPI number 1952792236
LBN Legal business name Radic, Charlotte R
Credentials CNM, APRN
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2015
Last updated Apr 29th, 2024 - 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 1952792236 NPPES
Indiana MEDICAID 201278230

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