Large, Michael Christopher
Large, Michael Christopher is an individual health care provider with primary practice located at 14300 E 138Th Ste A , Fishers IN 46037-0087. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Large, Michael Christopher can be contacted via phone (317) 813-1660.Contact Information
Primary practice address
14300 E 138Th Ste A
Fishers IN 46037-0087
Phone: (317) 813-1660
Fax: (317) 813-1667
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 125-049267 | Illinois |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 01072896A | Indiana |
Profile Details
| NPI number | 1346489630 |
|---|---|
| LBN Legal business name | Large, Michael Christopher |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 11th, 2009 |
| Last updated | Jan 19th, 2024 - about 10 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346489630 | NPPES |
| Indiana | MEDICAID | 201191980 | |
| Indiana | Other | 000000826877 | |
| Indiana | Other | 1548340177 | |
| Indiana | Other | 100194370 | |
| Indiana | Other | 1487680518 | |
| Indiana | Other | 200288740 |
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