Vanderpool, Charles Phillip Blair

Vanderpool, Charles Phillip Blair is an individual health care provider with primary practice located at 705 Riley Hospital Dr Roc 4210, Indianapolis IN 46202-5109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as his primary health care specialty. Vanderpool, Charles Phillip Blair can be contacted via phone (317) 944-3774.

Contact Information

Primary practice address
705 Riley Hospital Dr Roc 4210 Indianapolis IN 46202-5109
Fax: (317) 944-8521
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 01069261A Indiana

Profile Details

NPI number 1033266820
LBN Legal business name Vanderpool, Charles Phillip Blair
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Nov 23rd, 2020 - about 4 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 1033266820 NPPES
Indiana MEDICAID 201020420

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