Hewson, Charles W

Hewson, Charles W is an individual health care provider with primary practice located at 601 Stadium Mall Dr , West Lafayette IN 47907-2052. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Hewson, Charles W can be contacted via phone (765) 494-1700.

Contact Information

Primary practice address
601 Stadium Mall Dr West Lafayette IN 47907-2052
Phone: (765) 494-1700
Fax: (765) 496-1227
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 01035176A Indiana

Profile Details

NPI number 1669469409
LBN Legal business name Hewson, Charles W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Jul 8th, 2007 - about 19 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 1669469409 NPPES
Other 000000179406 ANTHEM BLUE CROSS BLUE SH
Other 90784 ANTHEM BLUE CROSS BLUE SH

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