Whalen, Charles J

Whalen, Charles J is an individual health care provider with primary practice located at 2514 E Dupont Rd , Fort Wayne IN 46825-1623. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Whalen, Charles J can be contacted via phone (260) 484-8830.

Contact Information

Primary practice address
2514 E Dupont Rd Fort Wayne IN 46825-1623
Phone: (260) 484-8830
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 01051941A Indiana

Profile Details

NPI number 1245232156
LBN Legal business name Whalen, Charles J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated May 6th, 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 1245232156 NPPES
Indiana Other 000000111208 ANTHEM
Indiana MEDICAID 200250710 ANTHEM
Indiana MEDICAID 3045565 ANTHEM
Indiana Other 000000693552 ANTHEM

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