Organization
CHARLES D HANSHAW DO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES D HANSHAW DO (PRESIDENT)
(937) 439-7430
Entity
Organization
Contact information
Practice address
8940 KINGSRIDGE DR, SUITE 103, DAYTON, OH 45458-1632
(937) 439-7430
(937) 439-7446
Mailing address
8940 KINGSRIDGE DR, SUITE 103, DAYTON, OH 45458-1632
(937) 439-7430
(937) 439-7446
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
009141
OH
207R00000X
Internal Medicine Physician
Primary
34003234H
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0734245
—
OH
Enumeration date
11/05/2007
Last updated
06/30/2009
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