Wakefield, Charles L

Wakefield, Charles L is an individual health care provider with primary practice located at 4199 Gateway Blvd Suite 2400, Newburgh IN 47630-8940. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Wakefield, Charles L can be contacted via phone (812) 858-4600.

Contact Information

Primary practice address
4199 Gateway Blvd Suite 2400 Newburgh IN 47630-8940
Fax: (812) 858-4601
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 383 Nebraska
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 02003730A Indiana

Profile Details

NPI number 1164492740
LBN Legal business name Wakefield, Charles L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Nov 30th, 2017 - about 7 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 1164492740 NPPES
Indiana MEDICAID 201001370

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