Claydon, Charles Robert

Claydon, Charles Robert is an sole proprietor health care provider with primary practice located at 605 Wilson Creek Rd Suite 102, Lawrenceburg IN 47025. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Claydon, Charles Robert can be contacted via phone (812) 496-8789.

Contact Information

Primary practice address
605 Wilson Creek Rd Suite 102 Lawrenceburg IN 47025
Fax: (812) 539-2562
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01057406A Indiana

Profile Details

NPI number 1003884156
LBN Legal business name Claydon, Charles Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2006
Last updated Aug 9th, 2022 - about 3 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 1003884156 NPPES
Indiana MEDICAID 200428040

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