Vaughan, Charles M

Vaughan, Charles M is an individual health care provider with primary practice located at 11803 Jefferson Ave Suite 110, Newport News VA 23606-2565. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Vaughan, Charles M can be contacted via phone (757) 873-0360.

Contact Information

Primary practice address
11803 Jefferson Ave Suite 110 Newport News VA 23606-2565
Phone: (757) 873-0360
Fax: (757) 873-0847
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 0101042292 Virginia
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 0101042292 Virginia

Profile Details

NPI number 1144216987
LBN Legal business name Vaughan, Charles M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated May 17th, 2011 - about 13 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 1144216987 NPPES
Virginia MEDICAID 1144216987

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