Bartholome, Charles William

Bartholome, Charles William is an individual health care provider with primary practice located at 1808 W Royale Dr , Muncie IN 47304-2243. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Bartholome, Charles William can be contacted via phone (765) 288-8188.

Contact Information

Primary practice address
1808 W Royale Dr Muncie IN 47304-2243
Phone: (765) 288-8188
Fax: (765) 282-7242
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 100348140 Indiana
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 100348140 Indiana
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X 100348140 Indiana

Profile Details

NPI number 1487656443
LBN Legal business name Bartholome, Charles William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2005
Last updated May 29th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487656443 NPPES
Other 070002789 RAILROAD MEDICARE
Other 000000084070 RAILROAD MEDICARE
MEDICAID 100348140 RAILROAD MEDICARE

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