Provider Demographics
NPI:1689935298
Name:WEHUNT, CASEY VAN JR (DO)
Entity Type:Individual
Prefix:
First Name:CASEY
Middle Name:VAN
Last Name:WEHUNT
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 980509
Mailing Address - Street 2:IM: INTERNAL MEDICINE
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23298-0509
Mailing Address - Country:US
Mailing Address - Phone:804-828-9726
Mailing Address - Fax:804-828-4926
Practice Address - Street 1:417 N 11TH ST
Practice Address - Street 2:IM RESIDENT ACC CLINIC
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23298-5002
Practice Address - Country:US
Practice Address - Phone:804-828-1941
Practice Address - Fax:804-828-0283
Is Sole Proprietor?:No
Enumeration Date:2012-05-31
Last Update Date:2016-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA390200000X
VA010220378501207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program