Individual
CHARLES D HANSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8940 KINGSRIDGE DR, STE. 103, DAYTON, OH 45458-1632
(937) 439-7430
(937) 439-7446
Mailing address
8940 KINGSRIDGE DR, STE. 103, DAYTON, OH 45458-1632
(937) 439-7430
(937) 439-7446
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34003234H
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0466320
—
OH
Enumeration date
07/03/2006
Last updated
11/19/2015
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