Modlin, Charles S

Modlin, Charles S is an individual health care provider with primary practice located at 5165 Mccarty Ln , Lafayette IN 47905-8764. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Modlin, Charles S can be contacted via phone (765) 448-8000.

Contact Information

Primary practice address
5165 Mccarty Ln Lafayette IN 47905-8764
Phone: (765) 448-8000
Fax: (765) 448-7619
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 35064578M Ohio
Allopathic & Osteopathic Physicians / Urology 208800000X 01067902A Indiana

Profile Details

NPI number 1578527891
LBN Legal business name Modlin, Charles S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Sep 1st, 2023 - about last year

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 1578527891 NPPES
Ohio MEDICAID 0232500
Ohio Other 815500567
Ohio MEDICAID 300061295

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