Mckeen, Charles R.
Mckeen, Charles R. is an sole proprietor health care provider with primary practice located at 421 W 1St St , Bloomington IN 47403-2403. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Mckeen, Charles R. can be contacted via phone (812) 332-3531.Contact Information
Primary practice address
421 W 1St St
Bloomington IN 47403-2403
Phone: (812) 332-3531
Fax: (812) 332-4673
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 01030763A | Indiana |
Profile Details
| NPI number | 1144310301 |
|---|---|
| LBN Legal business name | Mckeen, Charles R. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 16th, 2006 |
| Last updated | Dec 18th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144310301 | NPPES |
| Indiana | MEDICAID | 100183460 |
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