Lackey, Charles W

Lackey, Charles W is an individual health care provider with primary practice located at 100 St Marys Epworth Xing Ste. A500, Newburgh IN 47630-9698. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Lackey, Charles W can be contacted via phone (812) 471-1591.

Contact Information

Primary practice address
100 St Marys Epworth Xing Ste. A500 Newburgh IN 47630-9698
Phone: (812) 471-1591
Fax: (812) 471-6650
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 99025381A Indiana

Profile Details

NPI number 1528016532
LBN Legal business name Lackey, Charles W
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated May 29th, 2019 - about 5 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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