Van Wyk, Charl Stanhope

Van Wyk, Charl Stanhope is an individual health care provider with primary practice located at 800 Rose St Hx311, Lexington KY 40536-2379. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Van Wyk, Charl Stanhope can be contacted via phone (859) 323-5069.

Contact Information

Primary practice address
800 Rose St Hx311 Lexington KY 40536-2379
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 39288 Kentucky
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 39288 Kentucky

Profile Details

NPI number 1780622811
LBN Legal business name Van Wyk, Charl Stanhope
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Jun 22nd, 2015 - about 9 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 1780622811 NPPES
Ohio MEDICAID 2591039
Ohio MEDICAID 3810002596
Ohio MEDICAID 64092455

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