Tattersall, Charles W

Tattersall, Charles W is an sole proprietor health care provider with primary practice located at 8865 W 400 N Ste 175 , Michigan City IN 46360-9010. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Tattersall, Charles W can be contacted via phone (219) 877-2225.

Contact Information

Primary practice address
8865 W 400 N Ste 175 Michigan City IN 46360-9010
Phone: (219) 877-2225
Fax: (219) 877-2230
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 01059210A Indiana

Profile Details

NPI number 1629048913
LBN Legal business name Tattersall, Charles W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2006
Last updated Oct 17th, 2023 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1629048913 NPPES
Indiana MEDICAID 200487840

Popular Providers