Cline, Charles T

Cline, Charles T is an individual health care provider with primary practice located at 2600 Greenbush St , Lafayette IN 47904-2477. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Cline, Charles T can be contacted via phone (765) 448-8000.

Contact Information

Primary practice address
2600 Greenbush St Lafayette IN 47904-2477
Phone: (765) 448-8000
Fax: (765) 448-8544
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 01025220A Indiana

Profile Details

NPI number 1730158510
LBN Legal business name Cline, Charles T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Jul 23rd, 2012 - about 12 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 1730158510 NPPES
Indiana MEDICAID 100231100
Indiana Other E03843
Indiana Other 10824917
Indiana Other 9006422
Indiana MEDICAID CL80450010
Indiana Other 000000191345

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