Taft, Charles Van

Taft, Charles Van is an individual health care provider with primary practice located at 170 Kimel Park Dr , Winston-Salem NC 27103-6946. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Taft, Charles Van can be contacted via phone (336) 768-1270.

Contact Information

Primary practice address
170 Kimel Park Dr Winston-Salem NC 27103-6946
Phone: (336) 768-1270
Fax: (336) 765-6375
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 16025 North Carolina

Profile Details

NPI number 1750349130
LBN Legal business name Taft, Charles Van
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Apr 8th, 2011 - about 14 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 1750349130 NPPES
North Carolina MEDICAID 89-81407

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