Charles B Shane is a Gynecology in Louisville, Kentucky. Charles B Shane practices all healthcare services and medical treatments related to Gynecology. The NPI Number for Charles B Shane is 1386617298. The last update date is 2009-06-18.
Charles B Shane's current location address is 205 Sycamore Hills Ct, Louisville, Kentucky. You can contact this provider via phone number 5022438330 and fax number 5022438330. The mailing address for Charles B Shane is 205 Sycamore Hills Ct, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles B Shane |
|---|---|
| Address | 205 Sycamore Hills Ct, Louisville, Kentucky |
| Phone Number | 5022438330 |
| Fax Number | 5022438330 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1386617298 |
|---|---|
| Provider Enumeration Date | 2006-02-10 |
| Last Updated Date | 2009-06-18 |
Provider Mailing Address Detail
| Address | 205 Sycamore Hills Ct |
|---|---|
| City | Louisville |
| State | Kentucky (KY) |
| Post Code | 402455095 |
| Phone Number | 5022438330 |
| Fax Number | 5022438330 |
Provider's Primary Taxonomy Detail
| Speciality | Gynecology |
|---|---|
| Taxonomy | 207Vg0400X |
| Licence No | 18903 |
|
Definition: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 68700 | KY | ANTHEM | |
| 64189038 | KY | -- |
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What is the unique 10-digit identifier code issued to Charles B Shane by the Centers for Medicare & Medicaid Services?
The Charles B Shane has been assigned the NPI (National Provider Identifier) 1386617298 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Charles B Shane's facilities are situated?
The facilities of Charles B Shane are physically located at the following address: 205 Sycamore Hills Ct, Louisville, KY, 402455095.
What is Charles B Shane's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Charles B Shane's specialized field of practice is Gynecology, and the corresponding taxonomy code that categorizes this area of specialization is 207Vg0400X.
When did the Charles B Shane receive its 1386617298?
The Charles B Shane was issued its 1386617298 on 2006-02-10, which is the date when the organization was assigned this unique identifier.
As of what date were the Charles B Shane's details last updated?
The information pertaining to the Charles B Shane, including its address, specialty, and other details, was most recently updated on 2009-06-18.
NPI Number: 1063415297
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