Smith, Charles R

Smith, Charles R is an individual health care provider with primary practice located at 8450 Northwest Blvd. , Indianapolis IN 46278-1381. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Smith, Charles R can be contacted via phone (317) 802-2000.

Contact Information

Primary practice address
8450 Northwest Blvd. Indianapolis IN 46278-1381
Phone: (317) 802-2000
Fax: (317) 802-2170
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 01047574A Indiana
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 01047574A Indiana

Profile Details

NPI number 1629075080
LBN Legal business name Smith, Charles R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated May 16th, 2024 - 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 1629075080 NPPES
Indiana MEDICAID 200215940

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