Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 0101-029045 | VA |
N | 207RI0200X | Infectious Disease | 98-01050 | NC |
NPI | 1023011962 |
---|---|
Provider Name | Dr. Charles John Schleupner |
First Address | Salem, VA 24153 |
Second Address | Salem, VA 24153 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2005 |
Last Update Date | 16/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B60221 | (02) | NC |