Motley, Charles Floyd
Motley, Charles Floyd is an sole proprietor health care provider with primary practice located at 6916 W Johnson Rd , La Porte IN 46350-8247. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Motley, Charles Floyd can be contacted via phone (219) 872-7247.Contact Information
Primary practice address
6916 W Johnson Rd
La Porte IN 46350-8247
Phone: (219) 872-7247
Fax: (219) 879-8609
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 01030248A | Indiana |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01030248B | Indiana |
Profile Details
| NPI number | 1316948789 |
|---|---|
| LBN Legal business name | Motley, Charles Floyd |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Apr 22nd, 2008 - about 16 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 | 1316948789 | NPPES |
| Other | 000000316332 | ANTHEM BLUE CROSS | |
| MEDICAID | 100163900A | ANTHEM BLUE CROSS |
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