Individual
CHARLES R WHETSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1026 MAIN ST, LEXINGTON, MO 64067-1345
(660) 259-2216
(660) 259-3942
Mailing address
1026 MAIN ST, LEXINGTON, MO 64067-1345
(660) 259-2216
(660) 259-3942
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
R8693
MO
207Q00000X
Family Medicine Physician
Primary
R8693
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010568509
—
MO
01
—
08585145
BCBS MO
MO
01
—
08585205
BCBS MO
—
01
—
08585215
BCBS MO
—
01
—
08585225
BCBS MO
—
01
—
08585235
BCBS MO
—
01
—
08585245
BCBS MO
—
01
—
1612730
UHC
—
05
—
240888040
—
MO
05
—
540568508
—
MO
05
—
595956103
—
MO
05
—
595956202
—
MO
05
—
595956400
—
MO
05
—
595985805
—
MO
05
—
599225901
—
MO
Enumeration date
08/17/2005
Last updated
12/22/2010
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