Myers, Charles E
Myers, Charles E is an sole proprietor health care provider with primary practice located at 303 S Main St Suite 108, Mishawaka IN 46544-2159. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Myers, Charles E can be contacted via phone (574) 255-3108.Contact Information
Primary practice address
303 S Main St Suite 108
Mishawaka IN 46544-2159
Phone: (574) 255-3108
Fax: (574) 255-3100
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01025417 | Indiana |
Profile Details
| NPI number | 1891781852 |
|---|---|
| LBN Legal business name | Myers, Charles E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 26th, 2005 |
| Last updated | Jul 16th, 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 | 1891781852 | NPPES |
| Indiana | MEDICAID | 100222130 |
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