Kershner, Charles R

Kershner, Charles R is an sole proprietor health care provider with primary practice located at 285 W 12Th St 106, Peru IN 46970-1653. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Kershner, Charles R can be contacted via phone (765) 472-8041.

Contact Information

Primary practice address
285 W 12Th St 106 Peru IN 46970-1653
Phone: (765) 472-8041
Fax: (765) 475-8956
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 01019780 Indiana

Profile Details

NPI number 1710935325
LBN Legal business name Kershner, Charles R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 5th, 2006
Last updated Mar 25th, 2015 - about 10 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 1710935325 NPPES
Indiana MEDICAID 100352280
Indiana MEDICAID 100123310
Indiana Other 000000082968
Indiana Other 000000608142

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