Christian, Charles D

Christian, Charles D is an individual health care provider with primary practice located at 820 N Samuel Moore Pkwy Ste B, Mooresville IN 46158-1467. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Christian, Charles D can be contacted via phone (317) 483-5060.

Contact Information

Primary practice address
820 N Samuel Moore Pkwy Ste B Mooresville IN 46158-1467
Phone: (317) 483-5060
Fax: (317) 483-5065
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01042767 Indiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01042767A Indiana

Profile Details

NPI number 1700822889
LBN Legal business name Christian, Charles D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Jan 6th, 2021 - about 4 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 1700822889 NPPES
Indiana MEDICAID 200010700

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