Scanlon, John Charles

Scanlon, John Charles is an individual health care provider with primary practice located at 1500 Salem St , Lafayette IN 47904-2164. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Scanlon, John Charles can be contacted via phone (765) 448-8000.

Contact Information

Primary practice address
1500 Salem St Lafayette IN 47904-2164
Phone: (765) 448-8000
Fax: (765) 448-7631
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 01023751A Indiana
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 01023751A Indiana

Profile Details

NPI number 1073582623
LBN Legal business name Scanlon, John Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Jul 23rd, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073582623 NPPES
Indiana MEDICAID 100231140
Indiana Other 000000191108
Indiana Other 10825885
Indiana MEDICAID SC80461029
Indiana Other 9397438

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